Klingensmith, Amanda Jo

Klingensmith, Amanda Jo is an individual health care provider with primary practice located at 409 Plymouth Rd Ste 250 , Plymouth MI 48170-1842. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Klingensmith, Amanda Jo can be contacted via phone (734) 416-9098.

Contact Information

Primary practice address
409 Plymouth Rd Ste 250 Plymouth MI 48170-1842
Phone: (734) 416-9098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301017379 Michigan

Profile Details

NPI number 1689029290
LBN Legal business name Klingensmith, Amanda Jo
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2016
Last updated May 10th, 2018 - about 7 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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