Provider Demographics
NPI:1861584435
Name:HELSTROM, AMY W (PHD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:W
Last Name:HELSTROM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 SOUTH HUNTINGTON AVENUE
Mailing Address - Street 2:PSYCHOLOGY SERVICE (AA6B)
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:857-364-2474
Mailing Address - Fax:857-364-6539
Practice Address - Street 1:150 SOUTH HUNTINGTON AVENUE
Practice Address - Street 2:PSYCHOLOGY SERVICE (AA6B)
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-2474
Practice Address - Fax:857-364-6539
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8497103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical