Amy Lynne Mantha, BA
Genetic Counselor, MS in Agawam, MA. Individual provider (NPI-1).
NPI number1265796643
StatusActive
Last updated in NPPESJun 29, 2012
Details
- NPI
- 1265796643
- Entity type
- Individual (NPI-1)
- Name
- Amy Lynne Mantha
- Credential
- BA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2012
- Last updated
- Jun 29, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | S56905876 | MA | Yes |
Practice location
80 Cecile StAgawam, MA 01001-1609
Phone 413-789-3089
Mailing address
80 Cecile StAgawam, MA 01001-1609
Phone 413-789-3089
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