| Amanda Destefano Psychotherapy Llc | |
|
73 Trapelo Rd Ste 5 Belmont MA 02478-4463 | |
| (617) 680-5724 | |
| Not Available |
| Full Name | Amanda Destefano Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 73 Trapelo Rd Ste 5, Belmont, Massachusetts |
| Authorized Official Name and Position | Amanda Destefano (OWNER AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 6176805724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Destefano Psychotherapy Llc 42 Creeley Rd Belmont MA 02478-2213 Ph: (617) 680-5724 | Amanda Destefano Psychotherapy Llc 73 Trapelo Rd Ste 5 Belmont MA 02478-4463 Ph: (617) 680-5724 |
| NPI Number | 1083286819 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083286819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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