Provider Demographics
NPI:1588808398
Name:SEADER, AMY PARKINSON (RN, PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:PARKINSON
Last Name:SEADER
Suffix:
Gender:F
Credentials:RN, PSYD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:PARKINSON
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MARRIED NAME
Mailing Address - Street 1:1708 MADEIRA AVE
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2211
Mailing Address - Country:US
Mailing Address - Phone:215-760-3352
Mailing Address - Fax:
Practice Address - Street 1:1708 MADEIRA AVE
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2211
Practice Address - Country:US
Practice Address - Phone:215-885-8045
Practice Address - Fax:215-481-0204
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016461103TA0400X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)