Balog, Amanda

Balog, Amanda is an individual health care provider with primary practice located at 480 Farmington Dr , Brentwood CA 94513-5548. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Balog, Amanda can be contacted via phone (925) 513-6430.

Contact Information

Primary practice address
480 Farmington Dr Brentwood CA 94513-5548
Phone: (925) 513-6430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1528546850
LBN Legal business name Balog, Amanda
Credentials MA, ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2018
Last updated Jul 30th, 2018 - about 6 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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