Provider Demographics
NPI:1669746699
Name:SPECTOR-CRANE, AMY L (LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SPECTOR-CRANE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 POPLAR CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3219
Mailing Address - Country:US
Mailing Address - Phone:215-802-8805
Mailing Address - Fax:215-968-3751
Practice Address - Street 1:4 TERRY DR STE 17J
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1837
Practice Address - Country:US
Practice Address - Phone:215-802-8805
Practice Address - Fax:215-968-3751
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005586101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA13260272698OtherGROUP NPI