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NPI Code Detail

MEDICARE: AMY MARTIN

MEDICARE: AMY MARTIN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1366929218
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MARTIN
Provider Business Mailing Address
First Line : 44 PISCES LN
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3145
Country : US
Telephone Number : 833-229-2683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 05/05/2026

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Directions to “ AMY MARTIN ” Practice Location

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