Provider Demographics
NPI:1275853764
Name:AMATO, HEATHER CUNHA (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:CUNHA
Last Name:AMATO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MAMARONECK AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1615
Mailing Address - Country:US
Mailing Address - Phone:917-941-5353
Mailing Address - Fax:
Practice Address - Street 1:550 MAMARONECK AVE STE 305
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1615
Practice Address - Country:US
Practice Address - Phone:917-941-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003607-1103TC1900X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling