Provider Demographics
NPI:1437499845
Name:AMADO, WENDY JANET (MS)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JANET
Last Name:AMADO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:76 SUMMER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-5783
Mailing Address - Country:US
Mailing Address - Phone:978-345-9400
Mailing Address - Fax:978-345-9411
Practice Address - Street 1:76 SUMMER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5783
Practice Address - Country:US
Practice Address - Phone:978-345-9400
Practice Address - Fax:978-345-9411
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health