Provider Demographics
NPI:1588174213
Name:FALIVENE-ROCCO, AMANDA (MA, LPC, CPRP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:FALIVENE-ROCCO
Suffix:
Gender:F
Credentials:MA, LPC, CPRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 ADAMS WAY
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3740
Mailing Address - Country:US
Mailing Address - Phone:215-527-9456
Mailing Address - Fax:
Practice Address - Street 1:4371 WALN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-4010
Practice Address - Country:US
Practice Address - Phone:215-831-2950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health