Provider Demographics
NPI:1578994992
Name:KOCHAN-DEWEY, AMANDA ELAINE (PSYD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ELAINE
Last Name:KOCHAN-DEWEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:KOCHAN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1255 S. CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-437-4800
Mailing Address - Fax:484-725-6437
Practice Address - Street 1:1255 S. CEDAR CREST BLVD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-437-4800
Practice Address - Fax:484-725-6437
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist