Amezaga, Alfredo M

Amezaga, Alfredo M is an sole proprietor health care provider with primary practice located at 18124 Wedge Pkwy Ste. 538, Reno NV 89511-8134. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Amezaga, Alfredo M can be contacted via phone (800) 401-5593.

Contact Information

Primary practice address
18124 Wedge Pkwy Ste. 538 Reno NV 89511-8134
Phone: (800) 401-5593
Fax: (800) 401-5593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X PSY14696 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY0327 Nevada
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY0327 Nevada
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY14696 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0327 Nevada
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14696 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY0327 Nevada
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY14696 California
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY0327 Nevada
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PSY14696 California

Profile Details

NPI number 1013182559
LBN Legal business name Amezaga, Alfredo M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Jul 17th, 2012 - about 12 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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