Provider Demographics
NPI:1780372177
Name:VOEGTLI, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:VOEGTLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 WICKSWORTH LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-7123
Mailing Address - Country:US
Mailing Address - Phone:314-799-2572
Mailing Address - Fax:
Practice Address - Street 1:5501 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-3054
Practice Address - Country:US
Practice Address - Phone:314-469-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator