Individual
AMANDA TRECO HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP TSSLD
Contact information
Practice address
6 LAFAYETTE PL, SEA CLIFF, NY 11579-1935
(516) 286-1286
Mailing address
6 LAFAYETTE PL, SEA CLIFF, NY 11579-1935
(516) 286-1286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029278
NY
235Z00000X
Speech-Language Pathologist
SP4253
ME
Other
Enumeration date
08/26/2020
Last updated
05/16/2025
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