Provider Demographics
NPI:1790914851
Name:BOHLANDER, AMY JANE (PHD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JANE
Last Name:BOHLANDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JANE
Other - Last Name:AUGSBURGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7222 LINDEN AVE N APT A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5177
Mailing Address - Country:US
Mailing Address - Phone:206-289-0634
Mailing Address - Fax:206-428-6102
Practice Address - Street 1:7222 LINDEN AVE N APT A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5177
Practice Address - Country:US
Practice Address - Phone:206-289-0634
Practice Address - Fax:206-428-6102
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60215528103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent