Provider Demographics
NPI:1841638665
Name:LANPHERE, AMY L (LMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:LANPHERE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:HOHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:112 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-3629
Mailing Address - Country:US
Mailing Address - Phone:716-640-2379
Mailing Address - Fax:
Practice Address - Street 1:112 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-3629
Practice Address - Country:US
Practice Address - Phone:716-988-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07568927Medicaid
NY00635098Medicaid