Thomas, Amanda Martha

Thomas, Amanda Martha is an sole proprietor health care provider with primary practice located at 20 Cedar St , Worcester MA 01609-2520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Thomas, Amanda Martha can be contacted via phone (508) 753-5425.

Contact Information

Primary practice address
20 Cedar St Worcester MA 01609-2520
Phone: (508) 753-5425
Fax: (508) 753-9625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1679970321
LBN Legal business name Thomas, Amanda Martha
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2014
Last updated Nov 24th, 2014 - about 11 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 1679970321 NPPES
Massachusetts MEDICAID 1303619

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