Provider Demographics
NPI:1487959904
Name:STARLING, AMANDA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:M
Last Name:STARLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MOUNTAIN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2640
Mailing Address - Country:US
Mailing Address - Phone:908-277-8900
Mailing Address - Fax:908-941-9423
Practice Address - Street 1:34 MOUNTAIN BLVD STE B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2640
Practice Address - Country:US
Practice Address - Phone:908-277-8900
Practice Address - Fax:908-941-9423
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00502100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist