Individual
AMANDA ENTERANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
275 W 3RD ST UNIT 1, SOUTH BOSTON, MA 02127-1321
(818) 606-8673
Mailing address
275 W 3RD ST UNIT 1, SOUTH BOSTON, MA 02127-1321
(818) 606-8673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7416
MA
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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