Provider Demographics
NPI:1255584975
Name:DELOYSKI, AMY LOUISE (PSYD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LOUISE
Last Name:DELOYSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:KRUPINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1412 6TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-2003
Mailing Address - Country:US
Mailing Address - Phone:952-303-4039
Mailing Address - Fax:
Practice Address - Street 1:1412 6TH AVE W
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-2003
Practice Address - Country:US
Practice Address - Phone:952-303-4039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist