Provider Demographics
NPI:1942035878
Name:SYPER, AMY ALEXIS (PHD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ALEXIS
Last Name:SYPER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6935 W 109TH AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6443
Mailing Address - Country:US
Mailing Address - Phone:214-924-3782
Mailing Address - Fax:
Practice Address - Street 1:6935 W 109TH AVE APT 205
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-6443
Practice Address - Country:US
Practice Address - Phone:214-924-3782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC.00015448103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist