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

Amanda W Boullard

Individual provider Psychologist · NPI 1922975192

Amanda W Boullard is a Psychologist in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

7647 Mustang Mdw
San Antonio, TX 78244-3531
Phone: (512) 618-7669
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 70623 (TX)

Record details

NPI number1922975192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address7647 Mustang Mdw, San Antonio, TX 78244-3531

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