Individual
GREGORY AMATRUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
513 W CHOCOLATE AVE, HERSHEY, PA 17033-1632
(717) 810-1974
Mailing address
513 W CHOCOLATE AVE STE 100, HERSHEY, PA 17033-1632
(908) 216-4441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103493320
—
PA
01
—
642002
PSYC.
PA
Enumeration date
03/20/2020
Last updated
03/20/2020
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