| Doctor Name: | DR. AMY ELIZABETH WASSERBAUER |
| NPI Number: | 1326278953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 3729 |
| Business Practice Address: | One E Apache St Remuda Ranch Treatment Center Wickenburg, AZ - 85390 |
| Business Phone Number: | 9286844346 |
| Business Fax Number: | 9286842790 |
| Mailing Address: | 11746 W Monte Lindo Ln, SUN CITY |
| State: | AZ |
| Postal Code: | 853735001 |
| Phone Number: | 6023392458 |
| Fax Number: | 9286842790 |
| NPI Enumeration Date: | 07/16/2009 |
| NPI Last Update Date: | 07/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 3729 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |