Peterson, Amantha H.
Peterson, Amantha H. is an individual health care provider with primary practice located at 8136 Old Keene Mill Rd A-302, Springfield VA 22152-1850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Amantha H. can be contacted via phone (703) 913-8563.Contact Information
Primary practice address
8136 Old Keene Mill Rd A-302
Springfield VA 22152-1850
Phone: (703) 913-8563
Fax: (703) 913-8565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904008146 | Virginia |
Profile Details
| NPI number | 1225484850 |
|---|---|
| LBN Legal business name | Peterson, Amantha H. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2016 |
| Last updated | May 12th, 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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