MEDICARE: MRS. AMANDA LEIGH SPECHT 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
1	101YP2500X	Professional Counselor	PC011382	PA

General Provider Information

NPI Number	:	1518525278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA LEIGH SPECHT LPC

Provider Business Mailing Address
First Line	:	202 CHERRINGTON DR
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-9486
Country	:	US
Telephone Number	:	717-994-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 UTLEY DR STE 200
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-8031
Country	:	US
Telephone Number	:	717-614-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	05/29/2019

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