Sylvester, Amanda Rae
Sylvester, Amanda Rae is an sole proprietor health care provider with primary practice located at 8927 W Tucannon Ave Suite 107, Kennewick WA 99336-7176. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sylvester, Amanda Rae can be contacted via phone (509) 737-7052.Contact Information
Primary practice address
8927 W Tucannon Ave Suite 107
Kennewick WA 99336-7176
Phone: (509) 737-7052
Fax: (509) 619-0223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60134409 | Washington |
Behavioral Health & Social Service Providers / School | 1041S0200X | 394375J | Washington |
Profile Details
NPI number | 1104160761 |
---|---|
LBN Legal business name | Sylvester, Amanda Rae |
Credentials | MSW, CMHS, LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2012 |
Last updated | Feb 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104160761 | NPPES |
Washington | Other | 12356553 | CAQH PROVIDER ID |
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