Provider Demographics
NPI:1518004738
Name:PAPE, AMY WRISTEN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:WRISTEN
Last Name:PAPE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 FM 2181 STE 100
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-0111
Mailing Address - Country:US
Mailing Address - Phone:940-208-0102
Mailing Address - Fax:
Practice Address - Street 1:3001 FM 2181 STE 100
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-0111
Practice Address - Country:US
Practice Address - Phone:940-208-0102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5114106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist