Individual
AMY MAUREEN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 BROADWAY, CAMBRIDGE, MA 02139-1947
(617) 758-8485
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SE-203981
ID
Other
Enumeration date
02/27/2023
Last updated
06/27/2026
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