Modlin, Amy
Modlin, Amy is an individual health care provider with primary practice located at 401 West Fulton St , Grand Rapids MI 49504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Modlin, Amy can be contacted via phone (616) 610-0591.Contact Information
Primary practice address
401 West Fulton St
Grand Rapids MI 49504
Phone: (616) 610-0591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2028 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801090715 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106691 | California |
Profile Details
| NPI number | 1750511036 |
|---|---|
| LBN Legal business name | Modlin, Amy |
| Credentials | LMSW, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Jan 26th, 2023 - about 2 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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