Longwell, Amanda Beth
Longwell, Amanda Beth is an sole proprietor health care provider with primary practice located at 230 Grande Mdws , Bridgeport WV 26330-9711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Longwell, Amanda Beth can be contacted via phone (304) 592-2009.Contact Information
Primary practice address
230 Grande Mdws
Bridgeport WV 26330-9711
Phone: (304) 592-2009
Fax: (304) 592-2004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-0901 | West Virginia |
Profile Details
| NPI number | 1487741930 |
|---|---|
| LBN Legal business name | Longwell, Amanda Beth |
| Credentials | M.S. CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487741930 | NPPES |
| West Virginia | MEDICAID | 7402351-000 |
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