Provider Demographics
NPI:1033288105
Name:PYPER, AMANDA (MFT)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:PYPER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1455
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93464-1455
Mailing Address - Country:US
Mailing Address - Phone:805-697-6467
Mailing Address - Fax:805-697-2288
Practice Address - Street 1:107 N H ST STE J
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6856
Practice Address - Country:US
Practice Address - Phone:805-697-6467
Practice Address - Fax:805-697-2288
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT42229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist