Bullard, Amanda Marie
Bullard, Amanda Marie is an individual health care provider with primary practice located at 35 Memorial Dr , Pinehurst NC 28374-8708. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bullard, Amanda Marie can be contacted via phone (910) 715-3371.Contact Information
Primary practice address
35 Memorial Dr
Pinehurst NC 28374-8708
Phone: (910) 715-3371
Fax: (910) 715-5391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P003261 | North Carolina |
Profile Details
| NPI number | 1447346770 |
|---|---|
| LBN Legal business name | Bullard, Amanda Marie |
| Credentials | MSW, P-LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 25th, 2007 - about 18 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 | 1447346770 | NPPES |
| North Carolina | Other | C005731 | NC LICENSE - LCSW |
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