Kincheloe, Amy Ransom
Kincheloe, Amy Ransom is an sole proprietor health care provider with primary practice located at 4549 Chamblee Dunwoody Rd , Atlanta GA 30338-6210. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kincheloe, Amy Ransom can be contacted via phone (770) 677-9416.Contact Information
Primary practice address
4549 Chamblee Dunwoody Rd
Atlanta GA 30338-6210
Phone: (770) 677-9416
Fax: (770) 677-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3628 | Georgia |
Profile Details
| NPI number | 1922443100 |
|---|---|
| LBN Legal business name | Kincheloe, Amy Ransom |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2013 |
| Last updated | May 1st, 2013 - about 12 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 | 1922443100 | NPPES |
| Georgia | Other | 3628 | STATE BOARD OF EXAMINERS (CLINICAL PSYCHOLOGY) |
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