MEDICARE: MRS. AMANDA JEAN BYRNE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1626	CT

General Provider Information

NPI Number	:	1730441429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA JEAN BYRNE LMFT

Provider Business Mailing Address
First Line	:	48 APPLEWOOD LN
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-6806
Country	:	US
Telephone Number	:	860-961-5084
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 MAIN ST STE 1
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-2830
Country	:	US
Telephone Number	:	203-871-1265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2012
Last Update Date	:	04/28/2026

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