Holly, Amanda
Holly, Amanda is an individual health care provider with primary practice located at 9855 Woods Dr Suite G105, Skokie IL 60077-1074. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Holly, Amanda can be contacted via phone (847) 966-9343.Contact Information
Primary practice address
9855 Woods Dr Suite G105
Skokie IL 60077-1074
Phone: (847) 966-9343
Fax: (847) 966-9563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071-007489 | Illinois |
Profile Details
| NPI number | 1922393099 |
|---|---|
| LBN Legal business name | Holly, Amanda |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2011 |
| Last updated | Jun 16th, 2011 - about 15 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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