Individual
AMANDA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
601 BUTLER ST, DUNMORE, PA 18512-2815
(570) 362-3373
Mailing address
601 BUTLER ST, DUNMORE, PA 18512-2815
(570) 362-3373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008506
PA
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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