Provider Information for 1609182260
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Miss AMY BETH MYERS MA, LPC, BCBA
Sex: Female
NPI: 1609182260
Last Updated: 2019-09-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609182260 | ||||||||||||
| Enumeration Date | 2010-08-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2524 TREMONT ST COLORADO SPRINGS, CO 80907-6029 United States Phone: 719-244-0083 | Fax: | ||||||||||||
| Primary Practice Address | 17 FARRAGUT AVE COLORADO SPRINGS, CO 80909-5625 United States Phone: 719-327-2084 | Fax: | ||||||||||||
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