Provider Demographics
NPI:1457720542
Name:WITTMAIER, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:WITTMAIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 MURRY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4146
Mailing Address - Country:US
Mailing Address - Phone:717-661-3548
Mailing Address - Fax:
Practice Address - Street 1:444 MURRY HILL CIR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4146
Practice Address - Country:US
Practice Address - Phone:717-661-3548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional