Organization
AMUDIPES BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN AMUDIPE (PRESIDENT)
(215) 858-7685
Entity
Organization
Contact information
Practice address
111 PRESIDENTIAL BLVD, SUITE 244, BALA CYNWYD, PA 19004-1008
(215) 858-7685
Mailing address
90 NORRISTOWN RD, BLUE BELL, PA 19422-2802
(215) 858-7685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/29/2010
Last updated
01/17/2017
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