Provider Demographics
NPI:1306487822
Name:DEMNER, AMY CAPLAN (PH D, LMHC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:CAPLAN
Last Name:DEMNER
Suffix:
Gender:F
Credentials:PH D, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 NW 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2504
Mailing Address - Country:US
Mailing Address - Phone:954-464-8523
Mailing Address - Fax:
Practice Address - Street 1:5571 UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-346-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-06
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3056101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor