Provider Demographics
NPI:1801173570
Name:WOLF, AMY TERESA (PSYD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:TERESA
Last Name:WOLF
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:TESS
Other - Middle Name:
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:705 N MILAM ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-3339
Mailing Address - Country:US
Mailing Address - Phone:830-998-1109
Mailing Address - Fax:
Practice Address - Street 1:705 N MILAM ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-3339
Practice Address - Country:US
Practice Address - Phone:830-998-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist