MEDICARE: DR. ERIN ADAMITIS PSYD

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
1	103TC2200X	Clinical Child & Adolescent Psychologist	05445	MD

General Provider Information

NPI Number	:	1699140384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN ADAMITIS PSYD

Provider Business Mailing Address
First Line	:	341 E LANCASTER AVE STE 2
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-2974
Country	:	US
Telephone Number	:	610-723-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	341 E LANCASTER AVE STE 2
Second Line	:
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-2974
Country	:	US
Telephone Number	:	610-723-8176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2015
Last Update Date	:	01/02/2020

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