Provider Demographics
NPI:1801299748
Name:BELL, AMY LYNN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SANDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 W E STREET
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-0027
Mailing Address - Country:US
Mailing Address - Phone:760-815-4583
Mailing Address - Fax:760-990-2232
Practice Address - Street 1:130 W E ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024
Practice Address - Country:US
Practice Address - Phone:769-815-4583
Practice Address - Fax:760-990-2232
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82448106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist