Adams-Mock, Amanda

Adams-Mock, Amanda is an individual health care provider with primary practice located at 3086 State Route 160 , Gallipolis OH 45631-8409. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams-Mock, Amanda can be contacted via phone (740) 446-5500.

Contact Information

Primary practice address
3086 State Route 160 Gallipolis OH 45631-8409
Fax: (740) 441-4402
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6518 Ohio

Profile Details

NPI number 1205060829
LBN Legal business name Adams-Mock, Amanda
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated May 18th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205060829 NPPES
Ohio MEDICAID 0253701

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