Lorenz, Amanda R

Lorenz, Amanda R is an sole proprietor health care provider with primary practice located at 9216 Keystone Ave , Skokie IL 60076-1737. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lorenz, Amanda R can be contacted via phone (630) 344-9880.

Contact Information

Primary practice address
9216 Keystone Ave Skokie IL 60076-1737
Phone: (630) 344-9880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002854 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-008155 Illinois

Profile Details

NPI number 1912952623
LBN Legal business name Lorenz, Amanda R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Sep 29th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912952623 NPPES
Georgia MEDICAID 164273688A

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