Ryan, Amanda

Ryan, Amanda is an sole proprietor health care provider with primary practice located at 1133 Coloma Way C, Roseville CA 95661-4480. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ryan, Amanda can be contacted via phone (916) 774-6647.

Contact Information

Primary practice address
1133 Coloma Way C Roseville CA 95661-4480
Phone: (916) 774-6647
Fax: (916) 774-6456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1457521767
LBN Legal business name Ryan, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2008
Last updated Jan 11th, 2011 - about 14 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.

Request for update

Popular Providers