Individual provider · Type 1 NPI
Amanda W. Boullard
Psychologist · San Antonio, TX
Practice location
7647 Mustang Mdw
San Antonio, TX 78244-3531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 70623 (TX) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1922975192
Amanda W. Boullard's National Provider Identifier is 1922975192, issued on Oct 21, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 21, 2025.