Kallstrom-Fuqua, Amanda
Kallstrom-Fuqua, Amanda is an individual health care provider with primary practice located at 1600 University Drive , College Station TX 77840. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kallstrom-Fuqua, Amanda can be contacted via phone (979) 691-3397.Contact Information
Primary practice address
1600 University Drive
College Station TX 77840
Phone: (979) 691-3397
Fax: (979) 691-3332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 33603 | Texas |
Profile Details
| NPI number | 1427238484 |
|---|---|
| LBN Legal business name | Kallstrom-Fuqua, Amanda |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 7th, 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.
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