| Amy B. Greenamyer, Phd, Pllc | |
|
6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 | |
| (502) 882-4988 | |
| (502) 426-3388 |
| Full Name | Amy B. Greenamyer, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6520 Glenridge Park Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Amy B. Greenamyer (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5028824988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy B. Greenamyer, Phd, Pllc 6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 Ph: (502) 882-4988 | Amy B. Greenamyer, Phd, Pllc 6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 Ph: (502) 882-4988 |
| NPI Number | 1124320296 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 3870789829 |
|---|---|
| Medicare Enrollment ID | O20101202000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124320296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1366 (Kentucky) | Primary |
| Provider Name | Amy B Greenamyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871572313 PECOS PAC ID: 7416908892 Enrollment ID: I20050202000822 |
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