MEDICARE: AMY MCNAMARA MAATC, LPC-A, ATR-P

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	101YP2500X	Professional Counselor	8029	CT
2	221700000X	Art Therapist	25-288	CT

General Provider Information

NPI Number	:	1437097094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MCNAMARA MAATC, LPC-A, ATR-P

Provider Business Mailing Address
First Line	:	126 FAIR ST
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-4210
Country	:	US
Telephone Number	:	203-710-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 FAIR ST
Second Line	:
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-4210
Country	:	US
Telephone Number	:	203-710-0041
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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