Provider Demographics
NPI:1083248009
Name:GARRETT, AMY LYNN (CASE MANAGEMENT SPEC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:GARRETT
Suffix:
Gender:F
Credentials:CASE MANAGEMENT SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S FEARING BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1810
Mailing Address - Country:US
Mailing Address - Phone:419-901-7854
Mailing Address - Fax:
Practice Address - Street 1:311 E MARKET ST STE 3
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4535
Practice Address - Country:US
Practice Address - Phone:567-703-9064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management