Provider Demographics
NPI:1316600422
Name:SHELLHAMER, AMY
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:SHELLHAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 WINDGATE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3674
Mailing Address - Country:US
Mailing Address - Phone:484-798-1261
Mailing Address - Fax:
Practice Address - Street 1:193 WINDGATE DR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3674
Practice Address - Country:US
Practice Address - Phone:484-798-1261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor