IndividualActive
Amanda Distasio, PH.D.
NPI 1902113590 · Counseling Psychologist · Amherst, MA
Provider details
- NPI number
- 1902113590
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 11228 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
111 County Cir
Middlesex Bldg
Amherst, MA 01003-9255
Phone: (413) 545-2337
Fax: (413) 545-9602
Approximate (ZIP-level) locationGet directions
Mailing address
111 County Cir
Amherst, MA 01003-9255
Registry dates
- Enumerated
- 2010-09-03
- Last updated
- 2023-05-03
- Certified
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.