Doctor Name: | MRS. KEISHA AMANDA CONIGLIARO |
NPI Number: | 1518237247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.T |
License Number: | CON66 |
Business Practice Address: | 131 Rantoul St Beverly, MA - 019154240 |
Business Phone Number: | 9789211190 |
Business Fax Number: | |
Mailing Address: | 501 Cabot St, Unit 2 BEVERLY |
State: | MA |
Postal Code: | 019152594 |
Phone Number: | 9785966839 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2012 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CON66 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |