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Contact Information

ANDRES BUSTAMANTE, PHD
370 N KING ST
NORTHAMPTON, MA01060-1121
 Phone: 413-320-4118
 Fax: 888-289-5206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDRES BUSTAMANTE · (Male)

NPI Number 1982668919
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/14/2006
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 8148
  • MA Medicaid 1301071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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