Frederick-Galvin, Amanda
Frederick-Galvin, Amanda is an sole proprietor health care provider with primary practice located at 17740 Preston Rd # 100-C , Dallas TX 75252-5736. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Frederick-Galvin, Amanda can be contacted via phone (469) 623-7100.Contact Information
Primary practice address
17740 Preston Rd # 100-C
Dallas TX 75252-5736
Phone: (469) 623-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 73123 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12884 | Texas |
Profile Details
| NPI number | 1831542497 |
|---|---|
| LBN Legal business name | Frederick-Galvin, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Jul 19th, 2016 - about 10 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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