Amaris, Miranda

Amaris, Miranda is an individual health care provider with primary practice located at 2336 Lexington Ave N , Saint Paul MN 55113-4343. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Amaris, Miranda can be contacted via phone (651) 765-4306.

Contact Information

Primary practice address
2336 Lexington Ave N Saint Paul MN 55113-4343
Phone: (651) 765-4306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4391 Minnesota

Profile Details

NPI number 1669555314
LBN Legal business name Amaris, Miranda
Credentials MIRANDA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 4th, 2020 - about 5 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 1669555314 NPPES
Minnesota Other 143485 UCARE
Minnesota Other 463R4AM UCARE
Minnesota MEDICAID 164838100 UCARE
Minnesota Other 20281-10 UCARE

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