MRS. AMY ELIZABETH BROCK


Address: Po Box 1217, Wise, VA 24293-1217
Phone: 2763288017

MRS. AMY ELIZABETH BROCK (NPI# 1679098685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679098685
Entity Type Individual
Full Name MRS. AMY ELIZABETH BROCK
Other Name AMY ELIZABETH CRAWFORD
Credential PSY S; NCSP
Practice Address Po Box 1217
Wise
VA 24293-1217
Practice Telephone 2763288017
Practice Fax Number 2763288017
Mailing Telephone 2763288017
Enumeration Date 2017-08-10
Last Update Date 2019-01-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
0813000402 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
Po Box 660, Wise, VA 242930660 2763286113
2 Champions Ave, Big Stone Gap, VA 242191103 2765231290
30 Champions Ave, Big Stone Gap, VA 242191103 2765230195
2945 2nd Ave E, Big Stone Gap, VA 242193801 2765234900

Other Providers AMY BROCK

NPI Name Taxonomy Address Enumeration
1801450788 Amy Brock Nurse Practitioner 417 4th Avenue, Albany, GA 31701 2019-04-26
1366599516 Amy Elizabeth Brock Dentist 1040 Cumberland Falls Hwy, Suite A, Corbin, KY 40701-2713 2007-01-03
1215274303 Amy K Brock Specialist 1112 Finnegan Way, Bellingham, WA 98225-6622 2013-01-09

Office Location

Street Address PO BOX 1217
City WISE
State VA
Zip Code 24293-1217

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NPI Name Taxonomy Address Enumeration
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1861919730 Mckenzie Grace Trotter Speech-Language Pathologist 324 School Ave Southeast, Wise, VA 24293 2017-08-23
1043734023 3 Guys Transport LLC Non-emergency Medical Transport (VAN) 5519 Pole Bridge Road, Wise, VA 24293 2017-08-01
1013352699 Tester Chiropractic LLC. Chiropractor 411 East Main Street, Wise, VA 24293 2013-05-08
1861737181 Family Preservation Services, Inc Community/Behavioral Health 5913 Airport Road, Wise, VA 24293 2012-11-28
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003922972 Wise County Public Schools Psychologist 628 Lake St, Wise, VA 24293 2006-08-22
1427524032 Shaina Morgan Hall Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2018-10-22
1205351251 Susan Taylor Mullins Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11
1487179438 Maranda Vandyke Fuller Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780299461 Shelly Liaros Psychologist 405 Grafton Dr, Yorktown, VA 23692-2155 2020-09-10
1609480953 Laura Taylor Psychologist 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 2020-09-03
1346853165 Laura Meghan O'malley Psychologist 300 Apollo Ave, Danville, VA 24540-4227 2020-08-31
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1922611169 Caroline Faith Dewerd Psychologist 4638 Battenburg Ln, Fairfax, VA 22030-6267 2020-08-27
1205467891 Jennifer Molepske Psychologist 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 2020-01-31
1811538077 Brittany Lee Gill Psychologist 3005 Clarke Dr, Virginia Beach, VA 23456-7919 2019-09-30
1467002915 Michelyn Cynthia Kemp Psychologist 4656 Noland Blvd, Williamsburg, VA 23188-7587 2019-09-17
1851948830 Kyle Jacob Maziarski Psychologist 100 Panther Dr, Fredericksburg, VA 22406-7473 2019-08-23
1093361024 Alexis Rae Carson Psychologist 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 2019-08-15
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Competitor

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City WISE
Zip Code 24293

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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