Large, Amanda Marie

Large, Amanda Marie is an individual health care provider with primary practice located at 1516 N 5Th St Unit 401 , Philadelphia PA 19122-3679. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Large, Amanda Marie can be contacted via phone (267) 861-3685.

Contact Information

Primary practice address
1516 N 5Th St Unit 401 Philadelphia PA 19122-3679
Phone: (267) 861-3685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS019057 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PS019057 Pennsylvania

Profile Details

NPI number 1730798067
LBN Legal business name Large, Amanda Marie
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Sep 9th, 2020 - about 5 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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