Amanda M Distasio, PHD
Psychologist, Counseling in Amherst, Massachusetts
1902113590- Practice location
- 111 County Cir, Middlesex Bldg, Amherst, MA 01003-9255
- Phone
- 413-545-2337
- Fax
- 413-545-9602
- Last updated
- May 3, 2023
Amanda M Distasio is a Psychologist, Counseling based in Amherst, MA. Amanda M Distasio practices in Amherst, MA and has the professional credentials of PHD. The NPI Number for Amanda M Distasio is 1902113590 and holds a License No. 11228 (MA). The current practice location address for Amanda M Distasio is 111 County Cir, Middlesex Bldg, Amherst, MA 01003-9255 and can be reached out via phone at 413-545-2337 and via fax at 413-545-9602.
Provider Profile Details
- NPI Number
- 1902113590
- Provider Name
- Amanda M Distasio
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 County Cir, Middlesex Bldg, Amherst, MA 01003-9255
- Phone Number
- 413-545-2337
- Fax Number
- 413-545-9602
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 3, 2010
- Last Update Date
- May 3, 2023
- Certification Date
- April 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 County Cir
Middlesex Bldg
Amherst, MA 01003-9255 - City
- Amherst
- State
- Massachusetts
- Zip
- 01003-9255
- Phone Number
- 413-545-2337
- Fax Number
- 413-545-9602
Provider Business Mailing Address Details
- Address
- 111 County Cir
Middlesex Bldg
Amherst, MA 01003-9255 - City
- Amherst
- State
- MA
- Zip
- 01003-9255
- Phone Number
- 413-545-2337
- Fax Number
- 413-545-9602
License Information
- License Number (1)
- 11228
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Counseling · 103TC1900X
- License Number (2)
- 021930
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Counseling providers near Amherst, MA
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Frequently Asked Questions
What is the NPI number of Amanda M Distasio, PHD?
The NPI number of Amanda M Distasio, PHD is 1902113590. It was assigned on September 3, 2010 and is currently active in the NPPES registry.
What is the specialty of Amanda M Distasio, PHD?
Amanda M Distasio, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in MA under license number 11228.
Where does Amanda M Distasio, PHD practice?
The practice location is 111 County Cir, Middlesex Bldg, Amherst, MA 01003-9255. The office can be reached at 413-545-2337 (phone) or 413-545-9602 (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 1902113590 directly on the NPPES registry website.