Provider Demographics
NPI:1427573013
Name:BUCHANAN, AMY LEE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LEE
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
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Other - Credentials:
Mailing Address - Street 1:635 SW GOLDEN HILLS DR APT II203
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5864
Mailing Address - Country:US
Mailing Address - Phone:253-988-4216
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING AND PSYCHOLOGICAL SERVICES, WASHINGTON BLD.
Practice Address - Street 2:ROOM 302, PO BOX 642333
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99164-2333
Practice Address - Country:US
Practice Address - Phone:509-335-4511
Practice Address - Fax:509-335-2924
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPY60729714103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist