| Doctor Name: | AMANDA SMITH |
| NPI Number: | 1407109234 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | SL011568 |
| Business Practice Address: | 188 Jones Ave Portsmouth, NH - 038015516 |
| Business Phone Number: | 6034312530 |
| Business Fax Number: | |
| Mailing Address: | 33 Dwinell Dr, CONCORD |
| State: | NH |
| Postal Code: | 033012513 |
| Phone Number: | 6033212693 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2012 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL011568 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |