Eberle, Amanda

Eberle, Amanda is an individual health care provider with primary practice located at 1420 Fm 1960 Bypass Rd E Ste 116 , Humble TX 77338-3934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eberle, Amanda can be contacted via phone (713) 457-4372.

Contact Information

Primary practice address
1420 Fm 1960 Bypass Rd E Ste 116 Humble TX 77338-3934
Phone: (713) 457-4372
Fax: (713) 457-0945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1269 South Carolina
Behavioral Health & Social Service Providers / Counseling 103TC1900X NOO-353-270 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 38459 Texas

Profile Details

NPI number 1013148360
LBN Legal business name Eberle, Amanda
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Oct 1st, 2020 - about 4 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 1013148360 NPPES
Texas MEDICAID 413475101

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