Provider Demographics
NPI:1851645568
Name:AUBRY, AMEY (LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:AMEY
Middle Name:
Last Name:AUBRY
Suffix:
Gender:F
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 N EAGLESTONE LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9426
Mailing Address - Country:US
Mailing Address - Phone:520-834-6650
Mailing Address - Fax:
Practice Address - Street 1:6700 N ORACLE RD
Practice Address - Street 2:SUITE 236
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7732
Practice Address - Country:US
Practice Address - Phone:520-834-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist