Healthcare Provider Details

I. General information

NPI: 1740990738
Provider Name (Legal Business Name): KIARA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date: 09/17/2025
Reactivation Date: 10/09/2025

III. Provider practice location address

269 1ST ST
PITTSFIELD MA
01201-4727
US

IV. Provider business mailing address

173 WATER ST STE 5
WILLIAMSTOWN MA
01267-2888
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-9515
  • Fax:
Mailing address:
  • Phone: 978-397-4071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: