Provider Demographics
NPI:1225302581
Name:AMANN, LUKE WILLIAM (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:WILLIAM
Last Name:AMANN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 MIDDLETOWN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1817
Mailing Address - Country:US
Mailing Address - Phone:215-741-9555
Mailing Address - Fax:215-741-6063
Practice Address - Street 1:680 MIDDLETOWN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1817
Practice Address - Country:US
Practice Address - Phone:215-741-9555
Practice Address - Fax:215-741-6063
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017178103TC0700X, 103TC1900X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling