Amy Beth Pacheco, BA
Individual provider Active NPI Contractor · Buzzards Bay, MA
NPI 1134561889 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1134561889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- S26331942 (MA)
- Practice address
- 134 Main St
Buzzards Bay, MA 02532-3221 - Phone
- (508) 444-6530
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S26331942 | MA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | S26331942 | MA | Yes |
Addresses
Primary practice location
134 Main St
Buzzards Bay, MA 02532-3221
Mailing address
134 Main St
Buzzards Bay, MA 02532-3221
Phone (508) 444-6530
Other providers in Buzzards Bay, MA
- Lawrence E O'Brien
- Odonata Psychotherapy & Retreat Center LLC
- Odonata Psychotherapy & Retreat Center LLC
- Cathleen Odonnell
- Barbara Crystal Olson
- Halley M Palmer
- Krutiben Patel
- Joshua Perkoski
- Caitlin Elizabeth Perrin
- Gary R Peterson
All providers in Buzzards Bay, MA · Contractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.