Individual
AMANDA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LOUCKS AVE, SCOTTDALE, PA 15683-1531
(724) 678-1825
Mailing address
1001 LOUCKS AVE, SCOTTDALE, PA 15683-1531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015151
PA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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