Provider Demographics
NPI:1063798825
Name:SCHETROMPF, AMANDA
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SCHETROMPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:17238-8931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1122 PLEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEEDMORE
Practice Address - State:PA
Practice Address - Zip Code:17238-8931
Practice Address - Country:US
Practice Address - Phone:717-573-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist