Individual
AMY TANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 HASTINGS HEIGHTS RD, WARWICK, MA 01378-7825
(413) 834-2212
Mailing address
147 HASTINGS HEIGHTS RD, WARWICK, MA 01378-7825
(413) 834-2212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031553207
—
MA
Enumeration date
03/28/2016
Last updated
03/28/2016
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