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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1851500250 | NPPES |
| New Hampshire | MEDICAID | 99560059 |
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