Individual provider · Type 1 NPI
Ethan Caleb Amdahl, PSY.D.
Clinical Psychologist · Camp Pendleton, CA
Practice location
62305 8th St.
Camp Pendleton, CA 92055-5452
Mailing address
62305 8th Street
Camp Pendleton, CA 92055-5452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 0810007593 (VA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1043743537
Ethan Caleb Amdahl, PSY.D.'s National Provider Identifier is 1043743537, issued on Apr 11, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Camp Pendleton, CA. The record was last updated on Nov 17, 2025.