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Individual

DR. AMANDA KONIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D, LPC, CAADC

Contact information

Practice address
600 N JACKSON ST, MEDIA, PA 19063-2561
(484) 442-0073
Mailing address
738 PARKLANE RD, SWARTHMORE, PA 19081-2922
(484) 442-0073

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0136061TELE
VT
101YM0800X
Mental Health Counselor
8671445
ID
101YM0800X
Mental Health Counselor
TPMC5844
FL
101YP2500X
Professional Counselor
1805
SC
101YP2500X
Professional Counselor
PC012293
PA
103TC0700X
Clinical Psychologist
Primary
PC012293
PA

Other

Enumeration date
07/05/2016
Last updated
09/05/2025
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