Hebb, Amy Nicole
Hebb, Amy Nicole is an sole proprietor health care provider with primary practice located at 65 Professional Place Suite 101, Bridgeport WV 26330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hebb, Amy Nicole can be contacted via phone (304) 842-6463.Contact Information
Primary practice address
65 Professional Place Suite 101
Bridgeport WV 26330
Phone: (304) 842-6463
Fax: (304) 842-8180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1038 | West Virginia |
Profile Details
| NPI number | 1366729295 |
|---|---|
| LBN Legal business name | Hebb, Amy Nicole |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2011 |
| Last updated | Apr 17th, 2014 - about 12 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 | 1366729295 | NPPES |
| West Virginia | MEDICAID | 3810022680 |
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