Provider Demographics
NPI:1033464011
Name:KREMPA, AMBER R (PSYD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:KREMPA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 MONTLIMAR DR STE C3
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1717
Mailing Address - Country:US
Mailing Address - Phone:251-586-4225
Mailing Address - Fax:251-344-4062
Practice Address - Street 1:1015 MONTLIMAR DR STE C3
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1717
Practice Address - Country:US
Practice Address - Phone:251-586-4225
Practice Address - Fax:251-344-4062
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1854103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist