AMANDA RAE SQUARE M.D. M.P.H. NPI 1528220894

NPI Information

Amanda Rae Square, M.D., M.P.H. is a child and adolescent psychiatry psychiatry neurology in New Haven, CT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Amanda Rae Square, M.D., M.P.H. NPI is 1528220894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 TEMPLE ST
SUITE 7C
NEW HAVEN, CT
ZIP 06510-715
Phone: (203) 785-2513

The NPI 1528220894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 7/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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