Individual
AMANDA LEIGH PIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
Mailing address
11318 SWEETGRASS DRIVE, BRADENTON, FL 34212
(609) 617-2954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15945
FL
235Z00000X
Speech-Language Pathologist
2202005553
VA
235Z00000X
Speech-Language Pathologist
SLP008608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518366657
—
SC
Enumeration date
08/14/2014
Last updated
03/17/2018
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