Doctor Name: | AMANDA MCGLUMPHY |
NPI Number: | 1356607378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LISW-S |
License Number: | I0000401 |
Business Practice Address: | 239a Old National Rd Old Washington, OH - 437680094 |
Business Phone Number: | 7404895571 |
Business Fax Number: | 7404895004 |
Mailing Address: | Po Box 94, OLD WASHINGTON |
State: | OH |
Postal Code: | 437680094 |
Phone Number: | 7402609440 |
Fax Number: | 7404895004 |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0000401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |