Amanda Elizabeth Pellegrino, MA, CCC-SLP, TSSLD
Speech-Language Pathologist, in Elmhurst, NY. Individual provider (NPI-1).
NPI number1083014237
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1083014237
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Elizabeth Pellegrino
- Credential
- MA, CCC-SLP, TSSLD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2014
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 025086 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 868379141 | NY |
Practice location
8055 Cornish AveElmhurst, NY 11373-3728
Phone 347-738-1316
Mailing address
15840 76th RdFlushing, NY 11366-1032
Phone 718-591-8429
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All 107 Speech-Language Pathologist providers in Elmhurst · All 3,376 providers in Elmhurst
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