Provider Demographics
NPI:1407925936
Name:BERKEBILE, AMANDA JEAN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JEAN
Last Name:BERKEBILE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 N GREENGATE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4081
Mailing Address - Country:US
Mailing Address - Phone:724-832-1700
Mailing Address - Fax:724-853-6704
Practice Address - Street 1:1215 N GREENGATE RD
Practice Address - Street 2:SUITE D
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-832-1700
Practice Address - Fax:724-853-6704
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000395106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist