Doctor Name: | AMANDA MARIE RILEY |
NPI Number: | 1760766679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 111 W High St Suite 112 Elkton, MD - 219215529 |
Business Phone Number: | 4106204790 |
Business Fax Number: | |
Mailing Address: | 677 E Pulaski Hwy, Suite B ELKTON |
State: | MD |
Postal Code: | 219216037 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 10/11/2011 |
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 |