Individual
AMANDA KATE BAKHASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
71 INDIAN DR, WOODCLIFF LAKE, NJ 07677-8119
(201) 704-8469
Mailing address
71 INDIAN DR, WOODCLIFF LAKE, NJ 07677-8119
(201) 704-8469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00833900
NJ
Other
Enumeration date
08/31/2012
Last updated
12/26/2019
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