Provider Demographics
NPI:1215314547
Name:CAMPOS, AMY LYNNE (MS)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNNE
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNNE
Other - Last Name:SEYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 E. HIGH ST. SUITE 202
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464
Mailing Address - Country:US
Mailing Address - Phone:484-345-9437
Mailing Address - Fax:
Practice Address - Street 1:1200 E. HIGH ST. SUITE 202
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:484-345-9437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor