Healthcare Provider Details

I. General information

NPI: 1245657147
Provider Name (Legal Business Name): SYLVIA MEGAN BUZZELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 UNIVERSITY DRIVE
AMHERST MA
01002
US

IV. Provider business mailing address

55 ARNOLD RD
PELHAM MA
01002
US

V. Phone/Fax

Practice location:
  • Phone: 413-345-4221
  • Fax:
Mailing address:
  • Phone: 413-345-4221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: