NPI 1962455048 · live from the CMS NPI Registry
Richard R Amodio, PhD
Psychologist, Clinical in Bedford, MA. National Provider Identifier 1962455048, active.
NPI record
| NPI | 1962455048 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 200 Springs Rd, Edith Nourse Roger Va Medical Center, Bedford, MA 01730 |
| Practice phone | 781-687-3056 |
| Enumerated | May 18, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 6882 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.