Rodriguez, Amanda G
Rodriguez, Amanda G is an individual health care provider with primary practice located at 901 A Mantua Pike Ste102, West Deptford NJ 08096-3920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rodriguez, Amanda G can be contacted via phone (856) 556-6020.Contact Information
Primary practice address
901 A Mantua Pike Ste102
West Deptford NJ 08096-3920
Phone: (856) 556-6020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00199800 | New Jersey |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00464100 | New Jersey |
Profile Details
| NPI number | 1346682176 |
|---|---|
| LBN Legal business name | Rodriguez, Amanda G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2013 |
| Last updated | Oct 9th, 2025 - about last year |
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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