Amatrudo, Gregory

Amatrudo, Gregory is an individual health care provider with primary practice located at 513 W Chocolate Ave , Hershey PA 17033-1632. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Amatrudo, Gregory can be contacted via phone (717) 810-1974.

Contact Information

Primary practice address
513 W Chocolate Ave Hershey PA 17033-1632
Phone: (717) 810-1974
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS019016 Pennsylvania

Profile Details

NPI number 1780210732
LBN Legal business name Amatrudo, Gregory
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Mar 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780210732 NPPES
Pennsylvania Other 642002 PSYC.
Pennsylvania MEDICAID 103493320 PSYC.

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