Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 8003 | OH |
N | 103T00000X | Psychologist | 8003 | OH |
Y | 103G00000X | Clinical Psychologist | 8003 | OH |
Y | 103TC0700X | Clinical Psychologist | 8003 | OH |
N | 103TH0004X | Health Psychologist | 8003 | OH |
NPI | 1417588229 |
---|---|
Provider Name | Amber Nicole Adams |
First Address | Belpre, OH 45714-2152 |
Second Address | Marietta, OH 45750-2244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2020 |
Last Update Date | 18/01/2021 |