Individual
AMANDA CASSARO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1266 FURNACE BROOK PKWY STE 100B, QUINCY, MA 02169-4789
(617) 433-7699
Mailing address
1266 FURNACE BROOK PKWY STE 100B, QUINCY, MA 02169-4789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9253
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134536998
NPI
—
Enumeration date
07/14/2014
Last updated
03/19/2018
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