Individual
AMANDA LISA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8815 182ND ST, HOLLIS, NY 11423-1733
(718) 297-9821
Mailing address
8815 182ND ST, HOLLIS, NY 11423-1733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58025300
NY
Other
Enumeration date
11/29/2016
Last updated
06/05/2026
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