Amdahl, Ethan Caleb
Amdahl, Ethan Caleb is an individual health care provider with primary practice located at U.S. Naval Hopsital Via Contrada Boscariello, Gricignano Di Aversa CE 81030. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Amdahl, Ethan Caleb can be contacted via phone (081) 811-6000.Contact Information
Primary practice address
U.S. Naval Hopsital Via Contrada Boscariello
Gricignano Di Aversa CE 81030
Phone: (081) 811-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810007593 | Virginia |
Profile Details
| NPI number | 1043743537 |
|---|---|
| LBN Legal business name | Amdahl, Ethan Caleb |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Aug 8th, 2023 - about 2 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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