Individual
DR. AMYLYNN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
105 BALA AVE, BALA CYNWYD, PA 19004-3307
(215) 593-0172
Mailing address
171 PARKER AVE, APARTMENT A, PHILADELPHIA, PA 19128-4443
(215) 593-0172
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016959
PA
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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