Individual
MRS. AMALID ROMAN-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 540-1234
Mailing address
PO BOX 791, HOLYOKE, MA 01041-0791
(413) 540-1234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
5578
PR
Other
Enumeration date
02/10/2014
Last updated
05/05/2025
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