Most Relevant Information
Provider Data
| NPI Number: | 1003664277 |
| Provider Name: | AMANDA NICOLE ZONCA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2024 |
| Last Updated: | 05/10/2024 |
Provider Practice Location
43279 SCHOENHERR RD
STERLING HEIGHTS
MI
483131957
Practice Location Phone/Fax
| Phone: | 3132784601 |
| Fax: |
Provider Mailing Location
30197 FAIRFIELD DR
CHESTERFIELD
MI
480511799
Provider Mailing Phone/Fax
| Phone: | 5869955343 |
| Fax: |