Provider Demographics
NPI:1033272356
Name:ADLER, AMY B (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:ADLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 ROBERT GRANT AVE RM 1W30
Mailing Address - Street 2:WRAIR - OFFICE OF RESEARCH MANAGEMENT
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-7500
Mailing Address - Country:US
Mailing Address - Phone:301-319-9940
Mailing Address - Fax:
Practice Address - Street 1:CMR 442
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09042-0130
Practice Address - Country:US
Practice Address - Phone:314-371-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL696103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist