Individual
MRS. AMANDA MARIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC- SLP
Contact information
Practice address
23 WESLEY ST, CENTER MORICHES, NY 11934-3717
(631) 987-4552
Mailing address
23 WESLEY ST, CENTER MORICHES, NY 11934-3717
(631) 987-4552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014519-1
NY
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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