Provider Demographics
NPI:1053807263
Name:LAPITE-DOWD, AMANDA (MED)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:LAPITE-DOWD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SANDERS ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1422
Mailing Address - Country:US
Mailing Address - Phone:413-231-7999
Mailing Address - Fax:
Practice Address - Street 1:1985 MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1016
Practice Address - Country:US
Practice Address - Phone:413-736-1458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10000342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health