Park-Goeddeke, Amy Elizabeth

Park-Goeddeke, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 12151 15 Mile Rd , Sterling Heights MI 48312-5120. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Park-Goeddeke, Amy Elizabeth can be contacted via phone (248) 921-7649.

Contact Information

Primary practice address
12151 15 Mile Rd Sterling Heights MI 48312-5120
Phone: (248) 921-7649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801073707 Michigan

Profile Details

NPI number 1417097700
LBN Legal business name Park-Goeddeke, Amy Elizabeth
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jan 21st, 2021 - about 3 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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