| Doctor Name: | MRS. AMANDA M SICKING |
| NPI Number: | 1083880231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 46001817A |
| Business Practice Address: | 18 N Catherine Ave La Grange, IL - 605255930 |
| Business Phone Number: | 7084829453 |
| Business Fax Number: | 7084829454 |
| Mailing Address: | 18 N Catherine Ave, LA GRANGE |
| State: | IL |
| Postal Code: | 605255930 |
| Phone Number: | 7084829453 |
| Fax Number: | 7084829454 |
| NPI Enumeration Date: | 05/07/2008 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 46001817A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |