Most Relevant Information
Provider Data
| NPI Number: | 1003390741 |
| Provider Name: | AMANDA APA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SL014080 |
Most Important Dates
| Enumeration Date: | 09/19/2018 |
| Last Updated: | 06/15/2021 |
Provider Practice Location
625 WALNUT ST
MCKEESPORT
PA
151322806
Practice Location Phone/Fax
| Phone: | 4126735005 |
| Fax: |
Provider Mailing Location
625 WALNUT ST
MCKEESPORT
PA
151322806
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |