Heins, Amanda Marie
Heins, Amanda Marie is an individual health care provider with primary practice located at 4555 W Schroeder Dr , Brown Deer WI 53223-1475. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Heins, Amanda Marie can be contacted via phone (414) 355-9000.Contact Information
Primary practice address
4555 W Schroeder Dr
Brown Deer WI 53223-1475
Phone: (414) 355-9000
Fax: (414) 355-9665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1013147958 |
|---|---|
| LBN Legal business name | Heins, Amanda Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2009 |
| Last updated | Mar 1st, 2015 - about 9 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 | 1013147958 | NPPES |
| Wisconsin | Other | 12317640 | CAQH |
| Wisconsin | MEDICAID | 101314758 | CAQH |
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