Individual
MS. AMANDA EVANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
695 CHAPEL ST, STRATFORD, CT 06614-1672
(203) 993-9913
Mailing address
695 CHAPEL ST, STRATFORD, CT 06614-1672
(203) 993-9913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004489
CT
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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