Creadon, Amanda Marie
Creadon, Amanda Marie is an sole proprietor health care provider with primary practice located at 101 E State St , Kennett Square PA 19348-3109. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Creadon, Amanda Marie can be contacted via phone (727) 726-1181.Contact Information
Primary practice address
101 E State St
Kennett Square PA 19348-3109
Phone: (727) 726-1181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA6564 | Florida |
Profile Details
| NPI number | 1982855300 |
|---|---|
| LBN Legal business name | Creadon, Amanda Marie |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2008 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982855300 | NPPES |
| Florida | MEDICAID | 000197700 |
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