Sousa, Amber

Sousa, Amber is an individual health care provider with primary practice located at 1050 Hallock Ave Ste 1 , Port Jefferson Station NY 11776-1214. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Sousa, Amber can be contacted via phone (631) 676-1962.

Contact Information

Primary practice address
1050 Hallock Ave Ste 1 Port Jefferson Station NY 11776-1214
Phone: (631) 676-1962
Fax: (631) 676-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0211671 New York

Profile Details

NPI number 1285093252
LBN Legal business name Sousa, Amber
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 18th, 2016 - about 8 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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