Individual
AMANDA PAIGE DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
213 HALLOCK ROAD, STE 6, STONY BROOK, NY 11790-3000
(631) 689-6858
Mailing address
164 8TH AVE, HOLTSVILLE, NY 11742-2310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0267381
NY
Other
Enumeration date
09/07/2017
Last updated
03/13/2020
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