Provider Demographics
NPI:1326085135
Name:PIGOTT EGLER, AMY BETH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:PIGOTT EGLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 EXECUTIVE PARK DR STE 3000E
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-3204
Mailing Address - Country:US
Mailing Address - Phone:317-300-1414
Mailing Address - Fax:317-300-1414
Practice Address - Street 1:720 EXECUTIVE PARK DR STE 3000E
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-3204
Practice Address - Country:US
Practice Address - Phone:317-300-1414
Practice Address - Fax:317-300-1414
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001485A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist