Individual
MRS. AMY L SLENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2626 N 3RD ST FL 2, PENN STATE HERSHEY TLC CLINIC, HARRISBURG, PA 17110-2044
(717) 531-4100
(717) 531-0770
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW130647
PA
1041C0700X
Clinical Social Worker
Primary
CW019280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547178
MEDICARE PTAN
PA
Enumeration date
07/09/2014
Last updated
07/28/2017
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