Provider Demographics
NPI:1881452696
Name:BELANGER, AMY MEGAN (MA AMFT #145262)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MEGAN
Last Name:BELANGER
Suffix:
Gender:F
Credentials:MA AMFT #145262
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 DOVE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2410
Mailing Address - Country:US
Mailing Address - Phone:657-224-4678
Mailing Address - Fax:
Practice Address - Street 1:1601 DOVE ST STE 105
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2410
Practice Address - Country:US
Practice Address - Phone:657-224-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist