Individual
AMANDA JAYNE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
200 SKILES BLVD, WEST CHESTER, PA 19382-7321
(180) 057-8790
Mailing address
801 N 7TH ST, DEKALB, IL 60115-2501
(815) 291-1280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008555
IL
Other
Enumeration date
01/29/2007
Last updated
05/31/2013
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