Provider Demographics
NPI:1396017406
Name:ESCH, AMY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ESCH
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 DELAWARE AVE
Mailing Address - Street 2:OLIVEWOOD COUNSELING
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1280
Mailing Address - Country:US
Mailing Address - Phone:610-417-0463
Mailing Address - Fax:610-417-0463
Practice Address - Street 1:510 DELAWARE AVE
Practice Address - Street 2:OLIVEWOOD COUNSELING
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1280
Practice Address - Country:US
Practice Address - Phone:610-417-0463
Practice Address - Fax:610-417-0463
Is Sole Proprietor?:No
Enumeration Date:2012-02-04
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional