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

Dr. Ethan Caleb Amdahl, PSYD

Individual provider Clinical Psychologist · NPI 1043743537

Dr. Ethan Caleb Amdahl, PSYD is a Clinical Psychologist in Camp Pendleton, California. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

62305 8th St
Camp Pendleton, CA 92055-5452
Phone: (760) 763-6058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810007593 (VA)

Record details

NPI number1043743537
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address62305 8th Street, Camp Pendleton, CA 92055-5452

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