Individual
AMANDA TYRRELL LEWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
108 EDUCATION DR, SCHENECTADY, NY 12303-1297
(615) 336-4269
Mailing address
1190 TROY SCHENECTADY ROAD, LATHAM, NY 12201
(518) 640-3300
(518) 640-3401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026448-1
NY
Other
Enumeration date
02/17/2017
Last updated
10/16/2018
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