Basic Information
| Provider Information | |||||||||
| NPI: | 1003008228 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STARFIELD | ||||||||
| FirstName: | AMANDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 97 SOUTH ST | ||||||||
| Address2: | APARTMENT #1B | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010604047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085615021 | ||||||||
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| Practice Location | |||||||||
| Address1: | 78 POMEROY TER | ||||||||
| Address2: | CUTCHINS PROGRAMS FOR CHILDREN AND FAMILES | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010603378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135841310 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2007 | ||||||||
| LastUpdateDate: | 11/17/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.