Provider Demographics
NPI:1194838151
Name:TAPPMEYER, AMY LYNNE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNNE
Last Name:TAPPMEYER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:WHISLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6618 MARDEL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1226
Mailing Address - Country:US
Mailing Address - Phone:314-647-0705
Mailing Address - Fax:314-439-0101
Practice Address - Street 1:4 PINES CT STE E
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6093
Practice Address - Country:US
Practice Address - Phone:314-439-0100
Practice Address - Fax:314-439-0101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker