Provider Demographics
NPI:1053506972
Name:MEYERS, AMY H (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:H
Last Name:MEYERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:H
Other - Last Name:SHOELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2505 NW 2ND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6730
Mailing Address - Country:US
Mailing Address - Phone:561-235-7552
Mailing Address - Fax:561-229-0188
Practice Address - Street 1:2505 NW 2ND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6730
Practice Address - Country:US
Practice Address - Phone:561-235-7552
Practice Address - Fax:561-229-0188
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017089103TC0700X
FLPY9220103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical