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Andres Bustamante, PHD
Health Service Psychologist in Northampton, Massachusetts
NPI 1982668919

Andres Bustamante is a Health Service Psychologist based in Northampton, MA and is specialized in Health Service. Andres Bustamante practices in Northampton, MA and has the professional credentials of PHD. The NPI Number for Andres Bustamante is 1982668919 and holds a License No. 8148 (Massachusetts).

The current practice location address for Andres Bustamante is 370 N King St, Northampton, MA and can be reached out via phone at 413-320-4118 and via fax at 888-289-5206.

Location: 370 N King St, Northampton, MA, 01060-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982668919
Provider Name
Andres Bustamante
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
370 N King St, Northampton, MA, 01060-1121
Phone Number
413-320-4118
Fax Number
888-289-5206
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1301071 05 MA
institution
Provider Business Practice Location Address Details
Address
370 N King St
City
Northampton
State
Massachusetts
Zip
01060-1121
Phone Number
413-320-4118
Fax Number
888-289-5206
person
Provider Business Mailing Address Details
Address
370 N King St
City
Northampton
State
Massachusetts
Zip
01060-1121
Phone Number
413-320-4118
Fax Number
888-289-5206
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
8148 (Massachusetts)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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