Doctor Name: | AMANDA ALIFF |
NPI Number: | 1447649652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, NCC, CCTP |
License Number: | PC006613 |
Business Practice Address: | 119 Lurgan Ave Suite B Shippensburg, PA - 172571661 |
Business Phone Number: | 7173526902 |
Business Fax Number: | 7174778800 |
Mailing Address: | 6172 Greenbriar Ln, FAYETTEVILLE |
State: | PA |
Postal Code: | 172229678 |
Phone Number: | 7173526902 |
Fax Number: | 7174778800 |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC006613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |