Provider Demographics
NPI:1033350087
Name:SCHREFFLER, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SCHREFFLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 S ANDOVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7935
Mailing Address - Country:US
Mailing Address - Phone:316-247-3063
Mailing Address - Fax:316-247-6833
Practice Address - Street 1:149 S ANDOVER RD STE 100
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7935
Practice Address - Country:US
Practice Address - Phone:316-247-3063
Practice Address - Fax:316-247-6833
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1102106H00000X
KS880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist