Individual
MS. AMANDA GREER WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, TSSLD
Contact information
Practice address
48 NEVADA AVE, LONG BEACH, NY 11561-1124
(516) 380-2313
Mailing address
48 NEVADA AVE, LONG BEACH, NY 11561-1124
(516) 380-2313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018692
NY
Other
Enumeration date
10/16/2009
Last updated
06/14/2012
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