Individual
MRS. AMANDA MICHELLE MATTIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2667 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-0372
Mailing address
724 DELMAR WAY, RENO, NV 89509-1801
(775) 329-7269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12109367
NV
235Z00000X
Speech-Language Pathologist
SP-1097
NV
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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