Goldman, Amanda Ruby Elizabeth
Goldman, Amanda Ruby Elizabeth is an individual health care provider with primary practice located at 143 S Lincoln Ave Ste I , Aurora IL 60505-4290. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Goldman, Amanda Ruby Elizabeth can be contacted via phone (630) 486-3800.Contact Information
Primary practice address
143 S Lincoln Ave Ste I
Aurora IL 60505-4290
Phone: (630) 486-3800
Fax: (630) 486-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180005461 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 180005461 | Illinois |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 180005461 | Illinois |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180005461 | Illinois |
Profile Details
| NPI number | 1811090343 |
|---|---|
| LBN Legal business name | Goldman, Amanda Ruby Elizabeth |
| Credentials | LICENSED CLINICAL PR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Nov 4th, 2020 - about 5 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 | 1811090343 | NPPES |
| Illinois | Other | 0001634918 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 119856343168 | BLUE CROSS BLUE SHIELD |
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