Amy Pedigo Carmichael, PHD, MED, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · Olivette, MO
NPI 1174215693 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1174215693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2021013089 (MO)
- Practice address
- 9666 Olive Blvd
Olivette, MO 63132-3013 - Phone
- (314) 669-1277
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021013089 | MO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2021013089 | MO | Yes |
Addresses
Primary practice location
9666 Olive Blvd
Olivette, MO 63132-3013
Mailing address
10 Lenox PL
Saint Louis, MO 63108-1902
Phone (415) 637-6558
Other providers in Olivette, MO
- Elma Bumbulovic
- Hailey Burke
- Shelly Lynne Byndom
- Byron Duvall D.D.S. Gateway, P.C.
- Care Giver Supply Inc.
- Sherine S Chambers
- David Chernof
- Christian Psychological & Family Services
- City of Olivette
- Kristin Noelle Claggett
All providers in Olivette, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.