| Doctor Name: | DR. AMANDA MARIE WEREMEDIC |
| NPI Number: | 1093902157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | AT006023 |
| Business Practice Address: | 400 E 2nd St Centennial Hall Room 338 Bloomsburg, PA - 178151301 |
| Business Phone Number: | 5703895380 |
| Business Fax Number: | 5703895022 |
| Mailing Address: | 400 E 2nd St, Centennial Hall Room 338 BLOOMSBURG |
| State: | PA |
| Postal Code: | 178151301 |
| Phone Number: | 5703895380 |
| Fax Number: | 5703895022 |
| NPI Enumeration Date: | 10/02/2007 |
| NPI Last Update Date: | 08/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | AT006023 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |