Roberts, Amanda Karen

Roberts, Amanda Karen is an sole proprietor health care provider with primary practice located at 441 West St , Amherst MA 01002-2997. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Amanda Karen can be contacted via phone (413) 253-0440.

Contact Information

Primary practice address
441 West St Amherst MA 01002-2997
Phone: (413) 253-0440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8081 Massachusetts

Profile Details

NPI number 1972669588
LBN Legal business name Roberts, Amanda Karen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1972669588 NPPES
Massachusetts Other 1859587 MASSHEALTH
Massachusetts Other 467798 MASSHEALTH
Massachusetts Other 32638 MASSHEALTH
Massachusetts Other W06297 MASSHEALTH
Massachusetts MEDICAID 1895605 MASSHEALTH

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