IndividualActive
Amanda Etienne
NPI 1922584283 · Clinical Psychologist · Lakewood, CO
Provider details
- NPI number
- 1922584283
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PSY0006408 (CO)
Practice location
1090 S Wadsworth Blvd Ste C3096
Lakewood, CO 80226-4328
Phone: (914) 620-2405
Mailing address
1090 S Wadsworth Blvd Ste C
Lakewood, CO 80226-4350
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2024-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.