Maddy, Amanda Doris

Maddy, Amanda Doris is an individual health care provider with primary practice located at 177 Middletown Rd Ste 4 , Fairmont WV 26554-8254. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Maddy, Amanda Doris can be contacted via phone (304) 367-9191.

Contact Information

Primary practice address
177 Middletown Rd Ste 4 Fairmont WV 26554-8254
Phone: (304) 367-9191
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1295368421
LBN Legal business name Maddy, Amanda Doris
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2020
Last updated Feb 17th, 2020 - about 6 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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