Smith, Amanda Nicole

Smith, Amanda Nicole is an sole proprietor health care provider with primary practice located at 537 Cajon St , Redlands CA 92373-5903. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Amanda Nicole can be contacted via phone (909) 534-7494.

Contact Information

Primary practice address
537 Cajon St Redlands CA 92373-5903
Phone: (909) 534-7494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28487 California

Profile Details

NPI number 1962542399
LBN Legal business name Smith, Amanda Nicole
Credentials AMANDA CARD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Feb 1st, 2013 - about 12 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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