Reale, Amberrose A
Reale, Amberrose A is an individual health care provider with primary practice located at 12600 Creekside Ln Ste 2 , Fort Myers FL 33919-3353. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Reale, Amberrose A can be contacted via phone (239) 343-9235.Contact Information
Primary practice address
12600 Creekside Ln Ste 2
Fort Myers FL 33919-3353
Phone: (239) 343-9235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY11322 | Florida |
Profile Details
| NPI number | 1518218866 |
|---|---|
| LBN Legal business name | Reale, Amberrose A |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2012 |
| Last updated | Mar 23rd, 2023 - about 3 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 | 1518218866 | NPPES |
| Florida | MEDICAID | 116060800 |
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