DR. AMANDA KALLSTROM-FUQUA (NPI# 1427238484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427238484 |
| Entity Type | Individual |
| Full Name | DR. AMANDA KALLSTROM-FUQUA |
| Credential | PH.D. |
| Practice Address |
1600 University Drive College Station TX 77840 |
| Practice Telephone | 9796913397 |
| Practice Fax Number | 9796913332 |
| Mailing Telephone | 9796913397 |
| Mailing Fax Number | 9796913332 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
33603 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1600 UNIVERSITY DRIVE |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| 1891825907 | Leonard Wayne Marcella | Pharmacist | 1111 Earl Rudder Freeway, College Station, TX 77840 | 2007-03-07 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598006330 | Rebecca Ann Robles-pina | Psychologist | 9314 Lake Forest Ct S, College Station, TX 77845-8758 | 2013-03-04 |
| 1730430455 | Patti Gail Henderson | Psychologist | 2405 Texas Ave S Ste 308, College Station, TX 77840-4602 | 2012-09-20 |
| 1821158353 | Maribel R Hinojosa | Psychologist | 750 William D Fitch Pkwy Ste 520, College Station, TX 77845-7494 | 2006-12-12 |
| 1972689024 | Deborah Jean Voorhees | Psychologist | 4070 Sweetwater Dr, College Station, TX 77845-9644 | 2006-10-31 |
| 1003910449 | Robert Warren Heffer Jr. | Psychologist | 408 Tarrow St East, College Station, TX 77840-7811 | 2006-09-07 |
| 1881619823 | Eden Joy Schmeichel | Psychologist | 408 Tarrow St, College Station, TX 77840-7811 | 2006-07-12 |
| 1649216318 | Kay Ransom Carey | Psychologist | 730 Plum Hollow Dr, College Station, TX 77845-4475 | 2006-06-21 |
| 1568422707 | Jon A. Bergeron Jr. | Psychologist | 16741 Woodlake Dr, College Station, TX 77845-8273 | 2006-03-23 |
| 1033753660 | Arbor Psychological Pllc | Psychologist | 750 William D Fitch Pkwy Ste 520, College Station, TX 77845-7494 | 2019-11-06 |
| 1144673104 | Sandra Soenning | Psychologist | 1700 University Dr E, College Station, TX 77840-2661 | 2016-07-14 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
Please comment or provide details below to improve the information on DR. AMANDA KALLSTROM-FUQUA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.