Individual
AMANDA MICHELLE LAVALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
105 WILLOUGHBY CT, VENETIA, PA 15367-1459
(717) 330-5596
Mailing address
105 WILLOUGHBY CT, VENETIA, PA 15367-1459
(717) 330-5596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011919
PA
Other
Enumeration date
04/16/2013
Last updated
02/14/2025
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