| Doctor Name: | AMY LYNN SPAW |
| NPI Number: | 1205897071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPC |
| License Number: | 147028 |
| Business Practice Address: | 105 S Spring St Bellefonte, PA - 168231335 |
| Business Phone Number: | 8143557273 |
| Business Fax Number: | 8143596656 |
| Mailing Address: | Po Box 5135, PLEASANT GAP |
| State: | PA |
| Postal Code: | 168235135 |
| Phone Number: | 8143557273 |
| Fax Number: | 8143596656 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 147028 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |