Doctor Name: | AMANDA KOCH |
NPI Number: | 1326394842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 25 Adams Rd Williamstown, MA - 012672928 |
Business Phone Number: | 4134582111 |
Business Fax Number: | |
Mailing Address: | 62 Hillside Dr, WILLISTON |
State: | VT |
Postal Code: | 054955338 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |