Johnson, Amanda
Johnson, Amanda is an individual health care provider with primary practice located at 1123 1St Ave E Ste 200 , Newton IA 50208-3981. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Amanda can be contacted via phone (641) 792-4012.Contact Information
Primary practice address
1123 1St Ave E Ste 200
Newton IA 50208-3981
Phone: (641) 792-4012
Fax: (641) 791-0697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001202 | Iowa |
Profile Details
| NPI number | 1831409770 |
|---|---|
| LBN Legal business name | Johnson, Amanda |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2010 |
| Last updated | Jan 4th, 2022 - about 3 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 | 1831409770 | NPPES |
| Iowa | MEDICAID | 0069468 |
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