Healthcare Provider Details

I. General information

NPI: 1568587764
Provider Name (Legal Business Name): AMY VECHO M.A. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 BEAVER HOLLOW ROAD
JENKINTOWN PA
19046
US

IV. Provider business mailing address

353 BEAVER HOLLOW ROAD
JENKINTOWN PA
19046
US

V. Phone/Fax

Practice location:
  • Phone: 267-939-4829
  • Fax: 215-643-9844
Mailing address:
  • Phone: 267-939-4829
  • Fax: 215-643-9844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC003538
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPC003538
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: