Provider Demographics
NPI:1831089952
Name:MCLEES, AMARA (LAC, DAC, MAC)
Entity type:Individual
Prefix:
First Name:AMARA
Middle Name:
Last Name:MCLEES
Suffix:
Gender:F
Credentials:LAC, DAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 S VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1309
Mailing Address - Country:US
Mailing Address - Phone:610-639-3677
Mailing Address - Fax:
Practice Address - Street 1:940 E HAVERFORD RD # 201
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3845
Practice Address - Country:US
Practice Address - Phone:610-520-1128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001467171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist