Driskill, Amy Jo
Driskill, Amy Jo is an sole proprietor health care provider with primary practice located at 4425 W Zoo Blvd Suite 3, Wichita KS 67212-1620. 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. Driskill, Amy Jo can be contacted via phone (316) 749-2007.Contact Information
Primary practice address
4425 W Zoo Blvd Suite 3
Wichita KS 67212-1620
Phone: (316) 749-2007
Fax: (316) 749-2008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 735 | Kansas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LCMFT 735 | Kansas |
Profile Details
| NPI number | 1487846564 |
|---|---|
| LBN Legal business name | Driskill, Amy Jo |
| Credentials | M.S., LCMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jan 19th, 2018 - about 8 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 | 1487846564 | NPPES |
| Kansas | MEDICAID | 200443380E |
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