Pardue, Amanda Louise

Pardue, Amanda Louise is an individual health care provider with primary practice located at 645 South Rogers Street , Bloomington IN 47403. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pardue, Amanda Louise can be contacted via phone (812) 339-1691.

Contact Information

Primary practice address
645 South Rogers Street Bloomington IN 47403
Phone: (812) 339-1691
Fax: (812) 339-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001470 Indiana

Profile Details

NPI number 1568446656
LBN Legal business name Pardue, Amanda Louise
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 30th, 2009 - about 16 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 1568446656 NPPES
Other 000000247166 ANTHEM

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