Provider Demographics
NPI:1528122082
Name:TITZER, AMY GIBBONS
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:GIBBONS
Last Name:TITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:CLAIRE
Other - Last Name:GIBBONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 KAREN CT
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9243
Mailing Address - Country:US
Mailing Address - Phone:717-742-2003
Mailing Address - Fax:
Practice Address - Street 1:43 KAREN CT
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9243
Practice Address - Country:US
Practice Address - Phone:717-742-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health