Provider Demographics
NPI:1811619372
Name:AMEND, KAYLEE MARIE (PSYD)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:MARIE
Last Name:AMEND
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 1:359 PARKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2476
Mailing Address - Country:US
Mailing Address - Phone:412-519-9291
Mailing Address - Fax:
Practice Address - Street 1:5250 CASTE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1502
Practice Address - Country:US
Practice Address - Phone:412-347-4026
Practice Address - Fax:412-885-6209
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019697103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist