Diederich, Amanda

Diederich, Amanda is an individual health care provider with primary practice located at 2201 Glenwood Ave , Joliet IL 60435-5574. She recently has only one registered license in Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, which is considered as her primary health care specialty. Diederich, Amanda can be contacted via phone (815) 725-1191.

Contact Information

Primary practice address
2201 Glenwood Ave Joliet IL 60435-5574
Fax: (815) 725-1248
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 147001236 Illinois

Profile Details

NPI number 1548442049
LBN Legal business name Diederich, Amanda
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Jan 11th, 2012 - about 13 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.

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