| Doctor Name: | MRS. AMY E PUGH |
| NPI Number: | 1003141359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | |
| Business Practice Address: | 555 Mid Towne St Ne Ste 304 Grand Rapids, MI - 49503 |
| Business Phone Number: | 3145775600 |
| Business Fax Number: | 3142686468 |
| Mailing Address: | 1000 Parchment Dr Se, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495463663 |
| Phone Number: | 3148721439 |
| Fax Number: | 3148101399 |
| NPI Enumeration Date: | 10/05/2009 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |