Individual
AMY L MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
3504 WESTRIDGE DR, LAWRENCE, KS 66049-2258
(785) 764-8682
Mailing address
4925 JEFFERSON WAY, LAWRENCE, KS 66049-3595
(785) 764-8682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3784
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841281805
CENTER NPI
KS
05
—
200439500A
—
KS
Enumeration date
07/12/2006
Last updated
07/18/2023
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