Healthcare Provider Details

I. General information

NPI: 1942799481
Provider Name (Legal Business Name): AMY SCHULLERY, PSY.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CHRISTY DR STE 207
CHADDS FORD PA
19317-9667
US

IV. Provider business mailing address

5 CHRISTY DR STE 207
CHADDS FORD PA
19317-9667
US

V. Phone/Fax

Practice location:
  • Phone: 610-635-9641
  • Fax:
Mailing address:
  • Phone: 610-635-9641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS016686
License Number StatePA

VIII. Authorized Official

Name: DR. AMY SCHULLERY
Title or Position: OWNER
Credential: PSY.D.
Phone: 610-635-9641