Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda L Dodge

Individual provider Marriage & Family Therapist · NPI 1912756552

Amanda L Dodge is a Marriage and Family Therapist in Van Nuys, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2024

Practice location Address checks out

6957 Amestoy Ave
Van Nuys, CA 91406-4448
Phone: (818) 652-5807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 124818 (CA)

Record details

NPI number1912756552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 15, 2024
Mailing address6957 Amestoy Ave, Van Nuys, CA 91406-4448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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