Van Dam, Martha Lawson

Van Dam, Martha Lawson is an sole proprietor health care provider with primary practice located at 151 Mary Esther Blvd Suite 507, Mary Esther FL 32569-1972. 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 Dam, Martha Lawson can be contacted via phone (850) 226-7419.

Contact Information

Primary practice address
151 Mary Esther Blvd Suite 507 Mary Esther FL 32569-1972
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH15174 Florida

Profile Details

NPI number 1134537301
LBN Legal business name Van Dam, Martha Lawson
Credentials M.S., NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2014
Last updated Feb 5th, 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.

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