Individual
AMANDA A WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 NORTH MAIN STREET, FAIRPORT, NY 14450
(585) 334-6000
(585) 334-2858
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0207431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355344
—
NY
Enumeration date
02/21/2011
Last updated
06/01/2015
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