Sommer, Amy R
Sommer, Amy R is an individual health care provider with primary practice located at 1430 Main St , Waltham MA 02451-1623. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sommer, Amy R can be contacted via phone (781) 647-5327.Contact Information
Primary practice address
1430 Main St
Waltham MA 02451-1623
Phone: (781) 647-5327
Fax: (617) 419-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P003241 | North Carolina |
Profile Details
| NPI number | 1194872507 |
|---|---|
| LBN Legal business name | Sommer, Amy R |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Sep 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194872507 | NPPES |
| North Carolina | Other | P003241 | PROVISIONAL LCSW LICENSE |
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