Burbage, Amy

Burbage, Amy is an individual health care provider with primary practice located at 11232 Woods Bay Ln , Indianapolis IN 46236-7601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burbage, Amy can be contacted via phone (317) 826-1082.

Contact Information

Primary practice address
11232 Woods Bay Ln Indianapolis IN 46236-7601
Phone: (317) 826-1082
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041902A Indiana
Behavioral Health & Social Service Providers / Family 103TF0000X 20041902A Indiana

Profile Details

NPI number 1104061605
LBN Legal business name Burbage, Amy
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104061605 NPPES
Indiana MEDICAID 200953890

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