Individual
AMANDA DIONNE MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
224 N LOGAN BLVD, BURNHAM, PA 17009-1850
(717) 242-0196
(717) 242-0701
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(717) 242-0196
(717) 242-0701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060453
PA
363A00000X
Physician Assistant
ML3595608
PA
363A00000X
Physician Assistant
OA003552
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA060453
PENNSYLVANIA LICENSING BOARD
PA
Enumeration date
06/29/2015
Last updated
02/26/2025
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