Individual
DR. AMANTIA AMETAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0408
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1000170
MA
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
PSY1000170
MA
Other
Enumeration date
01/03/2022
Last updated
08/18/2023
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