Provider Demographics
NPI:1255692943
Name:WOODLEY, AMELIA SYLVIA
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:SYLVIA
Last Name:WOODLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MOSGROVE AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1113
Mailing Address - Country:US
Mailing Address - Phone:857-236-9690
Mailing Address - Fax:
Practice Address - Street 1:7 MOSGROVE AVE
Practice Address - Street 2:APT 1
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-1113
Practice Address - Country:US
Practice Address - Phone:857-236-9690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor