Provider Demographics
NPI:1902073919
Name:SICHER, AMANDA ANN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ANN
Last Name:SICHER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 LINWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-5940
Mailing Address - Country:US
Mailing Address - Phone:484-725-2958
Mailing Address - Fax:610-200-5784
Practice Address - Street 1:1555 LINWOOD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-5940
Practice Address - Country:US
Practice Address - Phone:484-725-2958
Practice Address - Fax:610-200-5784
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004838101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional