Provider Demographics
NPI:1326340423
Name:EPLER, AMEE JO (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMEE
Middle Name:JO
Last Name:EPLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 VETERANS DR
Mailing Address - Street 2:A-116-MHPC
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-3720
Mailing Address - Fax:253-589-4221
Practice Address - Street 1:9600 VETERANS DR
Practice Address - Street 2:A-116-MHPC
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-3720
Practice Address - Fax:253-589-4221
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS51902103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05820845Medicaid
MS31294YJ5DMedicare PIN