Provider Demographics
NPI:1114711355
Name:ECHEVARRIA, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ECHEVARRIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 FAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-1021
Mailing Address - Country:US
Mailing Address - Phone:413-540-6122
Mailing Address - Fax:
Practice Address - Street 1:480 WILLIAM F MCCLELLAN HWY STE 302
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-1389
Practice Address - Country:US
Practice Address - Phone:413-540-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health