Provider Demographics
NPI:1104909308
Name:BJORKMAN, AMY B (PHD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:B
Last Name:BJORKMAN
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 1:14300 N NORTHSIGHT BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3673
Mailing Address - Country:US
Mailing Address - Phone:480-688-4987
Mailing Address - Fax:480-590-4982
Practice Address - Street 1:14300 N NORTHSIGHT BLVD STE 109
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3673
Practice Address - Country:US
Practice Address - Phone:480-688-4987
Practice Address - Fax:480-590-4982
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3797103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist