Provider Demographics
NPI:1740301241
Name:ROUNTREE, AMY CAROL (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:CAROL
Last Name:ROUNTREE
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 1:128 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8410
Mailing Address - Country:US
Mailing Address - Phone:828-964-5119
Mailing Address - Fax:
Practice Address - Street 1:100 WESTGREEN DR STE 205
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4417
Practice Address - Country:US
Practice Address - Phone:828-964-5119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2725103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist