Distasio, Amanda M
Distasio, Amanda M is an individual health care provider with primary practice located at 111 County Cir Middlesex Bldg, Amherst MA 01003-9255. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Distasio, Amanda M can be contacted via phone (413) 545-2337.Contact Information
Primary practice address
111 County Cir Middlesex Bldg
Amherst MA 01003-9255
Phone: (413) 545-2337
Fax: (413) 545-9602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 11228 | Massachusetts |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 021930 | New York |
Profile Details
| NPI number | 1902113590 |
|---|---|
| LBN Legal business name | Distasio, Amanda M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2010 |
| Last updated | May 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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