Provider Demographics
NPI:1932355823
Name:BAND, IRA N (LMHC)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:N
Last Name:BAND
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CENTER CT
Mailing Address - Street 2:2ND FL.
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3006
Mailing Address - Country:US
Mailing Address - Phone:413-221-9962
Mailing Address - Fax:413-369-0033
Practice Address - Street 1:19 CENTER CT
Practice Address - Street 2:2ND FL.
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3006
Practice Address - Country:US
Practice Address - Phone:413-221-9962
Practice Address - Fax:413-369-0033
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health