Active NPIIndividual providerSole proprietor

Amy L Mantha, BA

Genetic Counselor, MS in Agawam, Massachusetts

NPI Number1265796643
Practice location
80 Cecile St, Agawam, MA 01001-1609
Fax
—
Last updated
June 29, 2012

Amy Lynne Mantha is a Genetic Counselor, MS based in Agawam, MA. Amy Lynne Mantha practices in Agawam, MA and has the professional credentials of BA. The NPI Number for Amy Lynne Mantha is 1265796643 and holds a License No. S56905876 (MA). The current practice location address for Amy Lynne Mantha is 80 Cecile St, Agawam, MA 01001-1609 and can be reached out via phone at 413-789-3089.

Provider Profile Details

NPI Number
1265796643
Provider Name
Amy Lynne Mantha
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
80 Cecile St, Agawam, MA 01001-1609
Phone Number
413-789-3089
Primary Taxonomy
Genetic Counselor, MS · 170300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2012
Last Update Date
June 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Cecile St
Agawam, MA 01001-1609
City
Agawam
Zip
01001-1609
Phone Number
413-789-3089
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
80 Cecile St
Agawam, MA 01001-1609
City
Agawam
State
MA
Zip
01001-1609
Phone Number
413-789-3089

License Information

License Number
S56905876
License State
MA
Taxonomy
Genetic Counselor, MS · 170300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Amy L Mantha, BA?

The NPI number of Amy L Mantha, BA is 1265796643. It was assigned on June 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Amy L Mantha, BA?

Amy L Mantha, BA is registered under the primary taxonomy Genetic Counselor, MS (code 170300000X), licensed in MA under license number S56905876.

Where does Amy L Mantha, BA practice?

The practice location is 80 Cecile St, Agawam, MA 01001-1609. The office can be reached at 413-789-3089 (phone).

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 1265796643 directly on the NPPES registry website.

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