Healthcare Provider Details

I. General information

NPI: 1164551537
Provider Name (Legal Business Name): AMY JO AMARELLO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7306
US

IV. Provider business mailing address

850 S 5TH ST
ALLENTOWN PA
18103-3308
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-3214
  • Fax: 610-776-3506
Mailing address:
  • Phone: 610-776-3515
  • Fax: 610-776-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS019731
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-297
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: