Ohearn, Amanda M

Ohearn, Amanda M is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ohearn, Amanda M can be contacted via phone (585) 275-6733.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Phone: (585) 275-6733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015012 New York

Profile Details

NPI number 1629013990
LBN Legal business name Ohearn, Amanda M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629013990 NPPES
New York MEDICAID 03165928

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