Provider Demographics
NPI:1639403264
Name:PIETZ, AMY KATHLEEN (CD (DONA))
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:KATHLEEN
Last Name:PIETZ
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 LAUREL CANYON BLVD
Mailing Address - Street 2:#1233
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3709
Mailing Address - Country:US
Mailing Address - Phone:310-890-2200
Mailing Address - Fax:
Practice Address - Street 1:3940 LAUREL CANYON BLVD
Practice Address - Street 2:#1233
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3709
Practice Address - Country:US
Practice Address - Phone:310-890-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula