Amanda T Nascimento, MS, LCGC
Genetic Counselor, MS in Southbridge, Massachusetts
1104456383- Practice location
- 55 Sayles St, Southbridge, MA 01550-1729
- Phone
- 508-764-2400
- Fax
- 508-909-7770
- Last updated
- May 29, 2023
Amanda Tatlock Nascimento is a Genetic Counselor, MS based in Southbridge, MA. Amanda Tatlock Nascimento practices in Southbridge, MA and has the professional credentials of MS, LCGC. The NPI Number for Amanda Tatlock Nascimento is 1104456383 and holds a License No. A-3628849. The current practice location address for Amanda Tatlock Nascimento is 55 Sayles St, Southbridge, MA 01550-1729 and can be reached out via phone at 508-764-2400 and via fax at 508-909-7770.
Provider Profile Details
- NPI Number
- 1104456383
- Provider Name
- Amanda Tatlock Nascimento
- Credential
- MS, LCGC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Sayles St, Southbridge, MA 01550-1729
- Phone Number
- 508-764-2400
- Fax Number
- 508-909-7770
- Primary Taxonomy
- Genetic Counselor, MS · 170300000X
- Sole Proprietor
- No
- Other Names
- Amanda I Tatlock, MS, CGC (Former Name)
- Provider Enumeration Date
- January 16, 2020
- Last Update Date
- May 29, 2023
- Certification Date
- May 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Sayles St
Southbridge, MA 01550-1729 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-1729
- Phone Number
- 508-764-2400
- Fax Number
- 508-909-7770
Provider Business Mailing Address Details
- Address
- 7 Rustic Dr
Northborough, MA 01532-2315 - City
- Northborough
- State
- MA
- Zip
- 01532-2315
- Phone Number
- 508-523-9725
License Information
- License Number (1)
- A-3628849
- Taxonomy (1)
- Health & Wellness Coach · 171400000X
- License Number (2)
- GC056
- License State (2)
- MA
- Taxonomy (2)
- Genetic Counselor, MS · 170300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda T Nascimento, MS, LCGC?
The NPI number of Amanda T Nascimento, MS, LCGC is 1104456383. It was assigned on January 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Amanda T Nascimento, MS, LCGC?
Amanda T Nascimento, MS, LCGC is registered under the primary taxonomy Genetic Counselor, MS (code 170300000X), licensed under license number A-3628849.
Where does Amanda T Nascimento, MS, LCGC practice?
The practice location is 55 Sayles St, Southbridge, MA 01550-1729. The office can be reached at 508-764-2400 (phone) or 508-909-7770 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104456383 directly on the NPPES registry website.