Amanda Michelle Bonus, DR.
Individual provider Active NPI Clinical Psychologist · Glenolden, PA
NPI 1366964447 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1366964447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS020833 (PA)
- Practice address
- 521 Pine St
Glenolden, PA 19036-1011 - Phone
- (732) 485-6147
- NPI assigned
- Jul 11, 2017
- Reactivated
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS020833 | PA | Yes |
Addresses
Primary practice location
521 Pine St
Glenolden, PA 19036-1011
Mailing address
521 Pine St
Glenolden, PA 19036-1011
Other practice location 1
1500 Chestnut St
Philadelphia, PA 19102-2737
Phone (267) 219-8242
Other names
- Amanda Blazkiewicz
Other providers in Glenolden, PA
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- Patricia Bell
- Eileen M Bellew
- Brian Bird
- Theresa A Bistline
- Manmohan Singh Boparai
- Briarcliffe Fire Company
- Melanie Brockenbrough
- Careline Home Care Agency LLC
- Susan Chan
All providers in Glenolden, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.