Provider Demographics
NPI:1124656897
Name:HANDLEY, AMY LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:LYNN
Last Name:HANDLEY
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 1:1117 BARRINGTON RDG
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-7191
Mailing Address - Country:US
Mailing Address - Phone:708-937-3036
Mailing Address - Fax:
Practice Address - Street 1:1000 VAN NUYS RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-9060
Practice Address - Country:US
Practice Address - Phone:708-937-3036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043096A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical