Doctor Name: | AMANDA KAY RECKER |
NPI Number: | 1427483635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 9632 |
Business Practice Address: | 1331 E 4th St Ottawa, OH - 458751505 |
Business Phone Number: | 4195239337 |
Business Fax Number: | |
Mailing Address: | Po Box 152, KALIDA |
State: | OH |
Postal Code: | 458530152 |
Phone Number: | 4197960386 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2013 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |