Provider Demographics
NPI:1780852186
Name:MAGER, AMY E (LIC AC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:MAGER
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27 BREWSTER CT # 1L
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3800
Mailing Address - Country:US
Mailing Address - Phone:413-222-8616
Mailing Address - Fax:413-584-1039
Practice Address - Street 1:27 BREWSTER CT # 1L
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3800
Practice Address - Country:US
Practice Address - Phone:413-222-8616
Practice Address - Fax:413-584-1039
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA349171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist