Provider Demographics
NPI:1669875290
Name:FRITZ, AMY (LCPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FRITZ
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 BACK SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-2045
Mailing Address - Country:US
Mailing Address - Phone:814-330-1793
Mailing Address - Fax:
Practice Address - Street 1:3759 BUSINESS 220 STE 105
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1130
Practice Address - Country:US
Practice Address - Phone:814-330-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5889101YP2500X
MDLC7498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional