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Contact Information

AMANDA J EVANGELISTA
914 HARRISON AVE
PANAMA CITY, FL32401
 Phone: 850-747-5755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for AMANDA J EVANGELISTA · (Female)

NPI # 1265849186
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2014
Last updated 03/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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