Individual
MS. AMANDA BETH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/L
Contact information
Practice address
1500 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 626-8800
Mailing address
1500 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015561
NY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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