Provider Demographics
NPI:1174709034
Name:QUINN, AMY DODSON (MA, PSYD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:DODSON
Last Name:QUINN
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Gender:F
Credentials:MA, PSYD
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Mailing Address - Street 1:3141 JOHN HUMPHRIES WYND
Mailing Address - Street 2:SUITE 275
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612
Mailing Address - Country:US
Mailing Address - Phone:919-990-1719
Mailing Address - Fax:919-783-6480
Practice Address - Street 1:3141 JOHN HUMPHRIES WYND
Practice Address - Street 2:SUITE 275
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5438
Practice Address - Country:US
Practice Address - Phone:919-990-1719
Practice Address - Fax:919-783-6480
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3502103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical