Hernandez, Amado F
Hernandez, Amado F is an sole proprietor health care provider with primary practice located at 150 Market St 2Nd Floor, Lynn MA 01901-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Hernandez, Amado F can be contacted via phone (781) 913-4017.Contact Information
Primary practice address
150 Market St 2Nd Floor
Lynn MA 01901-1529
Phone: (781) 913-4017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 7760 | Massachusetts |
Profile Details
| NPI number | 1619061603 |
|---|---|
| LBN Legal business name | Hernandez, Amado F |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1619061603 | NPPES |
| Massachusetts | Other | 1890379 | MBHP |
| Massachusetts | Other | 395667 | MBHP |
| Massachusetts | MEDICAID | 1890379 | MBHP |
| Massachusetts | Other | W06110 | MBHP |
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