Provider Demographics
NPI:1891713046
Name:MOTTOLA, AMY T (MS, CGC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:T
Last Name:MOTTOLA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 OLD CLINIC BUILDING CB# 7516
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7516
Mailing Address - Country:US
Mailing Address - Phone:919-966-2229
Mailing Address - Fax:919-966-1999
Practice Address - Street 1:3010 OLD CLINIC BUILDING CB# 7516
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7516
Practice Address - Country:US
Practice Address - Phone:919-966-2229
Practice Address - Fax:919-966-1999
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS