Van Ausdal, Amanda

Van Ausdal, Amanda is an individual health care provider with primary practice located at 3737 W 4100 S Suite 100 , West Valley City UT 84120. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Van Ausdal, Amanda can be contacted via phone (801) 548-0079.

Contact Information

Primary practice address
3737 W 4100 S Suite 100 West Valley City UT 84120
Phone: (801) 548-0079
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1700123635
LBN Legal business name Van Ausdal, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Dec 9th, 2022 - about 2 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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