Individual
AMANDA OTOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
508 HINKSON BLVD, RIDLEY PARK, PA 19078-2619
(484) 880-1396
Mailing address
508 HINKSON BLVD, RIDLEY PARK, PA 19078-2619
(484) 880-1396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC014339
PA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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