| Doctor Name: | MRS. AMANDA COFFMAN BRILL |
| NPI Number: | 1508069337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC SLP |
| License Number: | SLP-1095 |
| Business Practice Address: | 1840 Amherst St Winchester, VA - 22604 |
| Business Phone Number: | 5405361126 |
| Business Fax Number: | 5405365139 |
| Mailing Address: | Po Box 471, WARDENSVILLE |
| State: | WV |
| Postal Code: | 26851 |
| Phone Number: | 5405602553 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-1095 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| 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 |