Drahota, Amy M

Drahota, Amy M is an individual health care provider with primary practice located at 3020 Children'S Way Mc 5042, San Diego CA 92123. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Drahota, Amy M can be contacted via phone (858) 966-7453.

Contact Information

Primary practice address
3020 Children'S Way Mc 5042 San Diego CA 92123
Phone: (858) 966-7453
Fax: (858) 966-8011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25593 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 25593 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 25593 California

Profile Details

NPI number 1952733529
LBN Legal business name Drahota, Amy M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Aug 6th, 2013 - about 13 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 1952733529 NPPES
Other 12553783 CAQH PROVIDER ID
Other 25593 CAQH PROVIDER ID

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