Stephan, Amy R.

Stephan, Amy R. is an individual health care provider with primary practice located at 224 Great Bridge Blvd , Chesapeake VA 23320-3904. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stephan, Amy R. can be contacted via phone (757) 819-6121.

Contact Information

Primary practice address
224 Great Bridge Blvd Chesapeake VA 23320-3904
Phone: (757) 819-6121
Fax: (757) 819-6149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003288 Virginia

Profile Details

NPI number 1073508578
LBN Legal business name Stephan, Amy R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 17th, 2013 - about 13 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 1073508578 NPPES
Virginia Other 086778 SENTARA/OPTIMA
Virginia Other 321005 SENTARA/OPTIMA
Virginia Other 276613 SENTARA/OPTIMA
Virginia Other 324100 SENTARA/OPTIMA
Virginia Other 527433 SENTARA/OPTIMA

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