White, Amy Jo

White, Amy Jo is an individual health care provider with primary practice located at 2931 Olney Sandy Spring Rd F, Olney MD 20832-1527. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. White, Amy Jo can be contacted via phone (301) 775-9661.

Contact Information

Primary practice address
2931 Olney Sandy Spring Rd F Olney MD 20832-1527
Fax: (301) 830-6862
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2138 Maryland

Profile Details

NPI number 1063587897
LBN Legal business name White, Amy Jo
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063587897 NPPES
Maryland MEDICAID 265674

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