| Doctor Name: | AMANDA ROSENTEL |
| NPI Number: | 1760867063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 340 Montage Mountain Rd Moosic, PA - 185071782 |
| Business Phone Number: | 5703463686 |
| Business Fax Number: | 5705586838 |
| Mailing Address: | 35 Graham Ave, HANOVER TWP |
| State: | PA |
| Postal Code: | 187063209 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |