Johnson, Amanda Victoria

Johnson, Amanda Victoria is an sole proprietor health care provider with primary practice located at 1901 E 1St St , Newton KS 67114-5010. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Johnson, Amanda Victoria can be contacted via phone (316) 284-6400.

Contact Information

Primary practice address
1901 E 1St St Newton KS 67114-5010
Phone: (316) 284-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X T-LMLP 1357 Kansas

Profile Details

NPI number 1417261157
LBN Legal business name Johnson, Amanda Victoria
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2010
Last updated Aug 5th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417261157 NPPES
Kansas Other T-LMLP 1357 TEMPORARY LICENSED MASTERS LEVEL PSYCHOLOGIST

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