Provider Demographics
NPI:1346740636
Name:ROXBY, AMANDA JEANETTE
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JEANETTE
Last Name:ROXBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:JEANETTE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3515 WOODLAND PARK AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8928
Mailing Address - Country:US
Mailing Address - Phone:206-461-6990
Mailing Address - Fax:206-632-2467
Practice Address - Street 1:3515 WOODLAND PARK AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8928
Practice Address - Country:US
Practice Address - Phone:206-461-6990
Practice Address - Fax:206-632-2467
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor