Provider Demographics
NPI:1982917407
Name:CHEUNG, AMY ALISON
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ALISON
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:ALISON
Other - Last Name:RUSE-CHEUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSCSW
Mailing Address - Street 1:155 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-5642
Mailing Address - Country:US
Mailing Address - Phone:913-342-5367
Mailing Address - Fax:913-342-4463
Practice Address - Street 1:155 S 18TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-5642
Practice Address - Country:US
Practice Address - Phone:913-342-5367
Practice Address - Fax:913-342-4463
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS39701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical