Provider Demographics
NPI:1770383002
Name:ANDREWS, AMY R
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:R
Last Name:ANDREWS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-7810
Mailing Address - Country:US
Mailing Address - Phone:304-677-1846
Mailing Address - Fax:
Practice Address - Street 1:1213 TURNER RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-7810
Practice Address - Country:US
Practice Address - Phone:304-677-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVN8Y126600222252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency