Gamache, Andrea M
Gamache, Andrea M is an individual health care provider with primary practice located at 2400 Pleasant Hill Rd Suite 165, Duluth GA 30096. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gamache, Andrea M can be contacted via phone (770) 476-1967.Contact Information
Primary practice address
2400 Pleasant Hill Rd Suite 165
Duluth GA 30096
Phone: (770) 476-1967
Fax: (770) 476-0377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1943 | Georgia |
Profile Details
| NPI number | 1003975418 |
|---|---|
| LBN Legal business name | Gamache, Andrea M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003975418 | NPPES |
| Georgia | MEDICAID | 00693459A |
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