Individual
MISS AMANDA HARRIS DIZNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
157 E 89TH ST, APT 4FW, NEW YORK, NY 10128-2617
(860) 798-3998
Mailing address
157 E 89TH ST APT 4FW, NEW YORK, NY 10128-2615
(860) 798-3998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016935
NY
Other
Enumeration date
03/11/2009
Last updated
03/18/2009
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