Amanda Izen, M.A., CCC-SLP, TSSLD
Speech-Language Pathologist, in Dix Hills, NY. Individual provider (NPI-1).
NPI number1952923948
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1952923948
- Entity type
- Individual (NPI-1)
- Name
- Amanda Izen
- Credential
- M.A., CCC-SLP, TSSLD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 14295359 | NY | Yes |
Practice location
48 Colby DrDix Hills, NY 11746-8348
Phone 631-560-5080
Mailing address
48 Colby DrDix Hills, NY 11746-8348
Phone 631-560-5080
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All 85 Speech-Language Pathologist providers in Dix Hills · All 825 providers in Dix Hills
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