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Amanda Jackson

Speech-Language Pathologist, in Plattsburgh, NY. Individual provider (NPI-1).

NPI number1043666050
StatusActive
Last updated in NPPESMay 9, 2016

Details

NPI
1043666050
Entity type
Individual (NPI-1)
Name
Amanda Jackson
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2016
Last updated
May 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

22 New York Rd
Plattsburgh, NY 12903-3981

Phone 518-593-5223

Mailing address

40 Olivetti Pl
Plattsburgh, NY 12901-2614

Phone 518-593-5223

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Other Speech-Language Pathologist providers in Plattsburgh, NY

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