IndividualActive
Amanda Thompson, PH.D.
NPI 1760614705 · Psychologist · Fairfax, VA
Provider details
- NPI number
- 1760614705
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PSY1000568 (DC)
Practice location
8081 Innovation Park Dr Ste 2201
Fairfax, VA 22031-4867
Phone: (571) 472-0767
Fax: (571) 472-0377
Mailing address
Po Box 37174
Baltimore, MD 21297-3174
Registry dates
- Enumerated
- 2009-08-09
- Last updated
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.