Provider Demographics
NPI:1417408816
Name:MCADAM, AMY E (LMHC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:MCADAM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 NEWTON RD UNIT 1D
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2416
Mailing Address - Country:US
Mailing Address - Phone:339-927-5941
Mailing Address - Fax:
Practice Address - Street 1:120 NEWTON RD UNIT 1D
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-2416
Practice Address - Country:US
Practice Address - Phone:339-927-5941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health