Individual
AMY REBECCA PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
720 SECOND STREET PIKE, 202A, SOUTHAMPTON, PA 18966-5902
(215) 354-0161
(215) 504-0661
Mailing address
215 E VILLAGE RD, HOLLAND, PA 18966-2520
(215) 354-0161
(215) 504-0661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC000441
PA
101YM0800X
Mental Health Counselor
PC00302500
NJ
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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