Most Relevant Information
Provider Data
| NPI Number: | 1003469065 |
| Provider Name: | AMANDA LYN BOEHM MA, ATR |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2019 |
| Last Updated: | 03/09/2020 |
Provider Practice Location
1347 HAUSMAN RD
ALLENTOWN
PA
181049063
Practice Location Phone/Fax
| Phone: | 6105732500 |
| Fax: |
Provider Mailing Location
102 N 4TH ST APT 2
EMMAUS
PA
180492717
Provider Mailing Phone/Fax
| Phone: | 9082830361 |
| Fax: |