Smith, Amanda J
Smith, Amanda J is an individual health care provider with primary practice located at 1310 Main St , Willimantic CT 06226-1910. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Amanda J can be contacted via phone (860) 456-7200.Contact Information
Primary practice address
1310 Main St
Willimantic CT 06226-1910
Phone: (860) 456-7200
Fax: (860) 731-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1891108650 |
|---|---|
| LBN Legal business name | Smith, Amanda J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2014 |
| Last updated | Mar 1st, 2022 - about 4 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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