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NPI Code Detail

MEDICARE: DANA LYNNE D'AMICANTONIO MA, LPC

MEDICARE: DANA LYNNE D'AMICANTONIO MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1013574128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA LYNNE D'AMICANTONIO MA, LPC
Provider Business Mailing Address
First Line : 90 W CHURCH RD
Second Line :
City : STEVENS
State : PA
Zip : 17578-9758
Country : US
Telephone Number : 717-723-6526
Fax Number :
Provider Business Practice Location Address
First Line : 20 MAIN ST
Second Line :
City : DENVER
State : PA
Zip : 17517-1610
Country : US
Telephone Number : 717-875-1655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 08/08/2024

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