Individual
AMANDA PETTINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3553 W CHESTER PIKE STE 130, NEWTOWN SQUARE, PA 19073-3701
(484) 247-4774
Mailing address
7 KATELYNS WAY, BROOMALL, PA 19008-1436
(484) 247-4774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2022
Last updated
02/19/2025
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