Provider Demographics
NPI:1942710660
Name:AMOAH, ADJOA (NP)
Entity Type:Individual
Prefix:
First Name:ADJOA
Middle Name:
Last Name:AMOAH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:CREAMERY
Mailing Address - State:PA
Mailing Address - Zip Code:19430-0164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:672 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1679
Practice Address - Country:US
Practice Address - Phone:267-500-1170
Practice Address - Fax:267-500-1176
Is Sole Proprietor?:No
Enumeration Date:2017-10-08
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017936363LP0808X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health