Provider Demographics
NPI:1467073510
Name:ZEKANY, AMANDA CARISSA (MS, BSW)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:CARISSA
Last Name:ZEKANY
Suffix:
Gender:F
Credentials:MS, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 STAR DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9405
Mailing Address - Country:US
Mailing Address - Phone:717-965-4715
Mailing Address - Fax:
Practice Address - Street 1:27 STAR DR
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9405
Practice Address - Country:US
Practice Address - Phone:717-965-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor