Healthcare Provider Details

I. General information

NPI: 1528975323
Provider Name (Legal Business Name): AMANDA DETWILER LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 HELLBERG AVE
CHALFONT PA
18914-2713
US

IV. Provider business mailing address

84 HELLBERG AVE
CHALFONT PA
18914-2713
US

V. Phone/Fax

Practice location:
  • Phone: 267-281-7979
  • Fax:
Mailing address:
  • Phone: 267-281-7979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002553
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: