Provider Demographics
NPI:1134857485
Name:MARCH, AMANDA (LSWA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:MARCH
Suffix:
Gender:F
Credentials:LSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-3028
Mailing Address - Country:US
Mailing Address - Phone:781-778-8464
Mailing Address - Fax:
Practice Address - Street 1:70 BROADWAY UNIT 8
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3815
Practice Address - Country:US
Practice Address - Phone:781-778-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health