Doctor Name: | MRS. AMANDA MICHELLE MATTIOLI |
NPI Number: | 1134375975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP-1097 |
Business Practice Address: | 2667 Enterprise Rd Reno, NV - 895121666 |
Business Phone Number: | 7756880372 |
Business Fax Number: | |
Mailing Address: | 724 Delmar Way, RENO |
State: | NV |
Postal Code: | 895091801 |
Phone Number: | 7753297269 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2008 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1097 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
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 |