| Amy Schullery, Psy.d., Llc | |
|
26 Regency Plz Glen Mills PA 19342-1001 | |
| (610) 635-9641 | |
| Not Available |
| Full Name | Amy Schullery, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 26 Regency Plz, Glen Mills, Pennsylvania |
| Authorized Official Name and Position | Amy Schullery (OWNER) |
| Authorized Official Contact | 6106359641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Schullery, Psy.d., Llc 7300 Johnson Farm Ln Apt 201 Chadds Ford PA 19317-9068 Ph: () - | Amy Schullery, Psy.d., Llc 26 Regency Plz Glen Mills PA 19342-1001 Ph: (610) 635-9641 |
| NPI Number | 1942799481 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 8628323938 |
|---|---|
| Medicare Enrollment ID | O20180608001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942799481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016686 (Pennsylvania) | Primary |
| Provider Name | Amy Schullery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740539667 PECOS PAC ID: 7416262522 Enrollment ID: I20150819007149 |
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