Vaught, Amanda Shannon

Vaught, Amanda Shannon is an individual health care provider with primary practice located at 1400 Blackhorse Hill Rd , Coatesville PA 19320-2040. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vaught, Amanda Shannon can be contacted via phone (610) 384-7711.

Contact Information

Primary practice address
1400 Blackhorse Hill Rd Coatesville PA 19320-2040
Phone: (610) 384-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2232 Kansas

Profile Details

NPI number 1013146117
LBN Legal business name Vaught, Amanda Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Feb 9th, 2018 - about 8 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 1013146117 NPPES
Kansas Other 2232 PSYCHOLOGY LICENSE

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