Individual
AMANDA MARIE CRUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ACADEMY ST, AFTON, NY 13730-3256
(607) 639-8200
Mailing address
4 SIVER ST, SIDNEY, NY 13838-1625
(607) 244-1152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029882
NY
Other
Enumeration date
11/23/2015
Last updated
11/09/2022
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