Most Relevant Information
Provider Data
| NPI Number: | 1003382771 |
| Provider Name: | AMAYA GUNASEKERA MCD, CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/19/2018 |
| Last Updated: | 10/19/2018 |
Provider Practice Location
2400 WINCHESTER PL STE 102A
SPARTANBURG
SC
293011518
Practice Location Phone/Fax
| Phone: | 8645767188 |
| Fax: |
Provider Mailing Location
420 THE PKWY STE J
GREER
SC
296505205
Provider Mailing Phone/Fax
| Phone: | 8642443474 |
| Fax: | 8642443475 |