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
Phone: (740) 446-5500
Fax: (740) 441-4402
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205060829 | NPPES |
Ohio | MEDICAID | 0253701 |
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