Individual
AMANDA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 272-5891
(607) 272-0188
Mailing address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 272-5891
(607) 272-0188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026620
NY
Other
Enumeration date
04/27/2017
Last updated
11/02/2023
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