Provider Demographics
NPI:1609296961
Name:INMAN, AMANDA LOUISE
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LOUISE
Last Name:INMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:LOUISE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 S DEWEY AVE STE 820
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-3542
Mailing Address - Country:US
Mailing Address - Phone:918-214-7256
Mailing Address - Fax:
Practice Address - Street 1:401 S DEWEY AVE STE 820
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-3542
Practice Address - Country:US
Practice Address - Phone:918-214-7256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health