Individual
MS. AMANDA MARIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD
Contact information
Practice address
381 WILLIS AVE, HAWTHORNE, NY 10532-1413
(914) 815-6028
Mailing address
381 WILLIS AVE, HAWTHORNE, NY 10532-1413
(914) 815-6028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031161
NY
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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