Individual
AMANDA GRACE ACEBEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP, TSSLD
Contact information
Practice address
25 HURON DR, BAY SHORE, NY 11706-5433
(631) 965-5514
Mailing address
785 LARKFIELD RD, COMMACK, NY 11725-3122
(917) 749-5311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030296
NY
Other
Enumeration date
08/20/2019
Last updated
10/17/2023
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