Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS016461 | PA |
Y | 103G00000X | Clinical Psychologist | PS016461 | PA |
Y | 103TC0700X | Clinical Psychologist | PS016461 | PA |
NPI | 1588808398 |
---|---|
Provider Name | Dr. Amy Parkinson Seader |
First Address | Jenkintown, PA 19046-2211 |
Second Address | Jenkintown, PA 19046-2211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 21/11/2017 |