| Doctor Name: | DR. AMY ELIZABETH WENZEL |
| NPI Number: | 1013072875 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS015680 |
| Business Practice Address: | 1062 E Lancaster Ave Suite 2 Bryn Mawr, PA - 190101552 |
| Business Phone Number: | 2677460566 |
| Business Fax Number: | 4844543110 |
| Mailing Address: | 217 Walnut Pl, HAVERTOWN |
| State: | PA |
| Postal Code: | 190835710 |
| Phone Number: | 2677460566 |
| Fax Number: | 4844543110 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS015680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |