Amsden, Amanda M
Amsden, Amanda M is an sole proprietor health care provider with primary practice located at 914 E Broadway , Louisville KY 40204-1037. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Amsden, Amanda M can be contacted via phone (502) 587-8833.Contact Information
Primary practice address
914 E Broadway
Louisville KY 40204-1037
Phone: (502) 587-8833
Fax: (502) 589-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 271763 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 282837 | Kentucky |
Profile Details
| NPI number | 1275298689 |
|---|---|
| LBN Legal business name | Amsden, Amanda M |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2021 |
| Last updated | Jan 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275298689 | NPPES |
| Kentucky | MEDICAID | 7100780850 |
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