Waller, Amanda
Waller, Amanda is an sole proprietor health care provider with primary practice located at 154 Waypoint Dr , Eatontown NJ 07724-2184. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Waller, Amanda can be contacted via phone (908) 310-7788.Contact Information
Primary practice address
154 Waypoint Dr
Eatontown NJ 07724-2184
Phone: (908) 310-7788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00637200 | New Jersey |
Profile Details
| NPI number | 1710590146 |
|---|---|
| LBN Legal business name | Waller, Amanda |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2020 |
| 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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