Provider Demographics
NPI:1275082190
Name:SWOPE, AMY M (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:SWOPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 EASTERN BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2903
Mailing Address - Country:US
Mailing Address - Phone:717-870-7925
Mailing Address - Fax:717-467-4916
Practice Address - Street 1:2575 EASTERN BLVD STE 204
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2903
Practice Address - Country:US
Practice Address - Phone:717-894-0523
Practice Address - Fax:717-467-4916
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017453103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1035114560001Medicaid
PA1035728360001Medicaid