Provider Demographics
NPI:1174756852
Name:LOURDEAU, AMANDA M (MS)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:M
Last Name:LOURDEAU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:M
Other - Last Name:EDENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4432
Mailing Address - Country:US
Mailing Address - Phone:717-243-6033
Mailing Address - Fax:717-243-0776
Practice Address - Street 1:33 STATE AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4432
Practice Address - Country:US
Practice Address - Phone:717-243-6033
Practice Address - Fax:717-243-0776
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health