Most Relevant Information
Provider Data
| NPI Number: | 1003589169 |
| Provider Name: | AMANDA AARON HACKWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY-005165 |
Most Important Dates
| Enumeration Date: | 07/26/2021 |
| Last Updated: | 01/02/2023 |
Provider Practice Location
11431 N 39TH PL
PHOENIX
AZ
850282102
Practice Location Phone/Fax
| Phone: | 5416466442 |
| Fax: |
Provider Mailing Location
11431 N 39TH PL
PHOENIX
AZ
850282102
Provider Mailing Phone/Fax
| Phone: | 5416466442 |
| Fax: |