Dewildt, Amanda

Dewildt, Amanda is an sole proprietor health care provider with primary practice located at 1 Middle St Ste 206 , Portsmouth NH 03801-4391. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dewildt, Amanda can be contacted via phone (603) 998-2660.

Contact Information

Primary practice address
1 Middle St Ste 206 Portsmouth NH 03801-4391
Phone: (603) 998-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 120 New Hampshire

Profile Details

NPI number 1851500250
LBN Legal business name Dewildt, Amanda
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Apr 7th, 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 1851500250 NPPES
New Hampshire MEDICAID 99560059

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