Provider Demographics
NPI:1922246016
Name:DENLEY, AMY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:DENLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 PARK PLAZA AVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2288
Mailing Address - Country:US
Mailing Address - Phone:502-339-2442
Mailing Address - Fax:
Practice Address - Street 1:9720 PARK PLAZA AVE
Practice Address - Street 2:SUITE #102
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2288
Practice Address - Country:US
Practice Address - Phone:502-339-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV970103TC0700X
KY168058103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
11586339OtherCAQH