Provider Demographics
NPI:1316274970
Name:KROY, AMANDA JANE (MSW)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:KROY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 E WALNUT RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-8313
Mailing Address - Country:US
Mailing Address - Phone:480-213-8184
Mailing Address - Fax:
Practice Address - Street 1:4421 E WALNUT RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-8313
Practice Address - Country:US
Practice Address - Phone:480-213-8184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker