Provider Demographics
NPI:1003034133
Name:AMATO, DOLORES GIAMMARISE (MS MFT)
Entity Type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:GIAMMARISE
Last Name:AMATO
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:MRS
Other - First Name:DOLORES
Other - Middle Name:G
Other - Last Name:HEINLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6777 N WILLOW AVE
Mailing Address - Street 2:#141
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5900
Mailing Address - Country:US
Mailing Address - Phone:559-298-7230
Mailing Address - Fax:888-730-7357
Practice Address - Street 1:6777 N WILLOW AVE
Practice Address - Street 2:#141
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5900
Practice Address - Country:US
Practice Address - Phone:559-298-7230
Practice Address - Fax:888-730-7357
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT37387106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist