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NPI Code Detail

MEDICARE: DR. DINA DEL AMO PSY.D.

MEDICARE: DR. DINA DEL AMO PSY.D.
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
1103T00000XPsychologistPS008320LPA

General Provider Information

NPI Number : 1477587731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DINA DEL AMO PSY.D.
Provider Business Mailing Address
First Line : 28 GARRETT AVE
Second Line :
City : BRYN MAWR
State : PA
Zip : 19010-1400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28 GARRETT AVE
Second Line :
City : BRYN MAWR
State : PA
Zip : 19010-1400
Country : US
Telephone Number : 484-240-1408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 09/12/2016

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