Provider Demographics
NPI:1831342559
Name:BIEGEL, AMY ELIZABETH (PHD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:BIEGEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 W PALMIRA AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7264
Mailing Address - Country:US
Mailing Address - Phone:813-250-0111
Mailing Address - Fax:813-837-1098
Practice Address - Street 1:3014 W PALMIRA AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7264
Practice Address - Country:US
Practice Address - Phone:813-250-0111
Practice Address - Fax:813-837-1098
Is Sole Proprietor?:No
Enumeration Date:2008-10-25
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5482103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist