Individual
DR. AMY R INDERMUEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
109 CORONADO CT, BUILDING 7, FORT COLLINS, CO 80525-4929
(970) 676-3395
Mailing address
109 CORONADO CT, BUILDING 7, FORT COLLINS, CO 80525-4929
(970) 222-0524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2821
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28429877
—
CO
01
—
671759
ANTHEM BCBS PROVIDER NUM
CO
Enumeration date
07/12/2006
Last updated
08/15/2023
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