Provider Demographics
NPI:1417573726
Name:BYRD, AMY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:BYRD
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 1:739 N SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2428
Mailing Address - Country:US
Mailing Address - Phone:410-251-7604
Mailing Address - Fax:
Practice Address - Street 1:STERLING PLAZA, SUITE 408,
Practice Address - Street 2:201 N. CRAIG STREET
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1520
Practice Address - Country:US
Practice Address - Phone:410-251-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019019103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical