Individual
AMANDA PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, CBIS
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5255
Mailing address
49 COUNTRY KNOLL DR, BINGHAMTON, NY 13901-6112
(814) 880-1406
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/03/2016
Last updated
01/31/2025
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