Individual
MRS. AMANDA ELLEN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
284 MAIN ST, GORHAM, ME 04038-1312
(207) 222-1250
Mailing address
77 LITTLE RIVER DR, GORHAM, ME 04038-2554
(860) 575-4872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2658
ME
Other
Enumeration date
05/18/2015
Last updated
01/22/2025
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