| Doctor Name: | AMANDA ELAINE HANSEN |
| NPI Number: | 1023367646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 95 Mahalani St Suite 19 A Wailuku, HI - 967932521 |
| Business Phone Number: | 8082447467 |
| Business Fax Number: | 8082424762 |
| Mailing Address: | 851 S Kihei Rd, P 110 KIHEI |
| State: | HI |
| Postal Code: | 967539016 |
| Phone Number: | 5095518688 |
| Fax Number: | 8082424762 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |