Mccloy, Amanda

Mccloy, Amanda is an individual health care provider with primary practice located at 105 Webster St Ste 8, Hanover MA 02339-1227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mccloy, Amanda can be contacted via phone (781) 754-6545.

Contact Information

Primary practice address
105 Webster St Ste 8 Hanover MA 02339-1227
Phone: (781) 754-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 261565-BC Massachusetts

Profile Details

NPI number 1467740357
LBN Legal business name Mccloy, Amanda
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Sep 8th, 2016 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1467740357 NPPES
Massachusetts MEDICAID 110091261A

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