Schafer Johnson, Amanda Jean

Schafer Johnson, Amanda Jean is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2736. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schafer Johnson, Amanda Jean can be contacted via phone (906) 225-3985.

Contact Information

Primary practice address
580 W College Ave Marquette MI 49855-2736
Phone: (906) 225-3985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301013840 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301013840 Michigan
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 6301013840 Michigan

Profile Details

NPI number 1396987871
LBN Legal business name Schafer Johnson, Amanda Jean
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jan 25th, 2017 - about 9 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 1396987871 NPPES
Michigan MEDICAID 1396987871

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