Doctor Name: | MS. AMANDA LIZETTE DE ALEM |
NPI Number: | 1306283254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP |
License Number: | 023670-1 |
Business Practice Address: | 70 Columbus Ave Valhalla, NY - 105951753 |
Business Phone Number: | 9143281578 |
Business Fax Number: | |
Mailing Address: | 227 N High St, MOUNT VERNON |
State: | NY |
Postal Code: | 105501003 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2013 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023670-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |