Individual
AMANDA PAVALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1000 W OAK ST, FRACKVILLE, PA 17931-1643
(888) 929-7677
(888) 929-7677
Mailing address
530 W SPRING ST, FRACKVILLE, PA 17931
(570) 590-8266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012078
PA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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