Provider Demographics
NPI:1881135986
Name:AMATRUDO, MEGAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:AMATRUDO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:WOLENSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:333 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1284
Mailing Address - Country:US
Mailing Address - Phone:610-212-5269
Mailing Address - Fax:
Practice Address - Street 1:513 W CHOCOLATE AVE STE 100
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1632
Practice Address - Country:US
Practice Address - Phone:717-810-1974
Practice Address - Fax:717-704-8476
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAPS019012103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program