Provider Demographics
NPI:1922412733
Name:CAZE, AMALIA
Entity Type:Individual
Prefix:
First Name:AMALIA
Middle Name:
Last Name:CAZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1038
Mailing Address - Country:US
Mailing Address - Phone:508-552-7401
Mailing Address - Fax:508-363-0562
Practice Address - Street 1:70 JAMES ST # 0
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1038
Practice Address - Country:US
Practice Address - Phone:508-552-7401
Practice Address - Fax:508-363-0562
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program