Provider Demographics
NPI:1548209497
Name:CADES, AMY F (PH D)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:F
Last Name:CADES
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CONCOURSE BLVD
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-2502
Mailing Address - Country:US
Mailing Address - Phone:215-947-0402
Mailing Address - Fax:
Practice Address - Street 1:324 CONCOURSE BLVD
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-2502
Practice Address - Country:US
Practice Address - Phone:215-947-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005004L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA136371000OtherMIS KEYSTONE
PA0115562000OtherMHS PERSONAL CHOICE
4501630OtherAETNA
PA136371000OtherMIS KEYSTONE
R07337Medicare UPIN