Individual
MS. AMANDA ELIZABETH KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
160 OREGON AVE, MEDFORD, NY 11763-3227
(631) 678-8427
Mailing address
160 OREGON AVE, MEDFORD, NY 11763-3227
(631) 678-8427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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