Doctor Name: | MRS. AMANDA TRIPP HAYES |
NPI Number: | 1164704896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., C.A.G.S. |
License Number: | |
Business Practice Address: | 430 North Canal Street Family Service Inc. Lawrence, MA - 01840 |
Business Phone Number: | 9783276600 |
Business Fax Number: | 9783276601 |
Mailing Address: | 293 Beacon St, Apt. 3 BOSTON |
State: | MA |
Postal Code: | 021161246 |
Phone Number: | 7818567804 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |