Provider Demographics
NPI:1316118086
Name:PRICE, AMY JOY (MA, LCPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JOY
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 LASALLE RD
Mailing Address - Street 2:THE CHESTER BUILDING SUITE 325
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2001
Mailing Address - Country:US
Mailing Address - Phone:410-321-6035
Mailing Address - Fax:410-321-6169
Practice Address - Street 1:8600 LASALLE RD
Practice Address - Street 2:THE CHESTER BUILDING SUITE 325
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2001
Practice Address - Country:US
Practice Address - Phone:410-321-6035
Practice Address - Fax:410-321-6169
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional