Individual
AMANDA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BARBER PL, BILLING BOX 29, ERIE, PA 16507-1863
(814) 453-7661
Mailing address
100 BARBER PL, BILLING BOX 29, ERIE, PA 16507-1863
(814) 453-7661
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012771
PA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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