Provider Demographics
NPI:1780192542
Name:GLOVER, AMY KATHALEEN
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHALEEN
Last Name:GLOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 RUFFIN CIR SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6544
Mailing Address - Country:US
Mailing Address - Phone:321-210-9672
Mailing Address - Fax:407-960-3009
Practice Address - Street 1:415 HIBISCUS BLVD
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5070
Practice Address - Country:US
Practice Address - Phone:321-961-7831
Practice Address - Fax:407-960-3009
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty