Provider Demographics
NPI:1922403203
Name:AMARNICK, HARRY CARL (MA, LMFT)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:CARL
Last Name:AMARNICK
Suffix:
Gender:M
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 1:126 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2208
Mailing Address - Country:US
Mailing Address - Phone:215-738-3535
Mailing Address - Fax:
Practice Address - Street 1:126 CHURCH RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2208
Practice Address - Country:US
Practice Address - Phone:215-738-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000782106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist