Provider Demographics
NPI:1225408529
Name:DOBOSZ, ANN MARIE (MFT)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:DOBOSZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TRUMBULL RD STE 306
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3089
Mailing Address - Country:US
Mailing Address - Phone:415-409-9023
Mailing Address - Fax:
Practice Address - Street 1:8 TRUMBULL RD STE 306
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3089
Practice Address - Country:US
Practice Address - Phone:415-409-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist