Healthcare Provider Details

I. General information

NPI: 1528984077
Provider Name (Legal Business Name): AMY FARABAUGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 CENTRAL ST
ANDOVER MA
01810-3912
US

IV. Provider business mailing address

72 CENTRAL ST
ANDOVER MA
01810-3912
US

V. Phone/Fax

Practice location:
  • Phone: 617-688-5001
  • Fax:
Mailing address:
  • Phone: 617-688-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY H FARABAUGH
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 617-688-5001