Dr Amanda Kallstrom-fuqua, PHD - Psychologist in College Station, TX

Dr Amanda Kallstrom-fuqua, PHD is a Psychologist - Clinical based in College Station, Texas. Dr Amanda Kallstrom-fuqua is licensed to practice in Texas (license number 33603) and her current practice location is 1600 University Drive, College Station, Texas. She can be reached at her office (for appointments etc.) via phone at (979) 691-3397.

NPI number for Dr Amanda Kallstrom-fuqua is 1427238484 and her current mailing address is 1600 University Drive, College Station, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427238484.

Contact Information

Dr Amanda Kallstrom-fuqua, PHD
1600 University Drive,
College Station, TX 77840
(979) 691-3397
(979) 691-3332



Healthcare Provider's Profile

Full NameDr Amanda Kallstrom-fuqua
GenderFemale
SpecialityPsychologist - Clinical
Location1600 University Drive, College Station, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427238484
  • Provider Enumeration Date: 11/07/2007
  • Last Update Date: 11/07/2007

Medical Identifiers

Medical identifiers for Dr Amanda Kallstrom-fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427238484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 33603 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Kallstrom-fuqua is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Amanda Kallstrom-fuqua, PHD
1600 University Drive,
College Station, TX 77840

Ph: (979) 691-3397
Dr Amanda Kallstrom-fuqua, PHD
1600 University Drive,
College Station, TX 77840

Ph: (979) 691-3397

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› Verified 2 days ago


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