Provider Demographics
NPI:1871969154
Name:AMES, NANCY B
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:AMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 GIFFORD ST
Mailing Address - Street 2:SUITE W-10
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2918
Mailing Address - Country:US
Mailing Address - Phone:508-540-6550
Mailing Address - Fax:
Practice Address - Street 1:350 GIFFORD ST
Practice Address - Street 2:SUITE W-10
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2918
Practice Address - Country:US
Practice Address - Phone:508-540-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health