National Provider Identifier

Amanda B Benzin, SLP

Amanda B Benzin, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1043402506Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1043402506
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 17, 2007
Last Updated
August 17, 2007

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 822-4781

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1043402506
Entity Type
Individual
Last Name
Benzin
First Name
Amanda
Middle Name
B
Credential
SLP
Mailing Street Address
1025 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1755
Mailing Country
US
Mailing Phone
(716) 822-4781
Mailing Fax
(716) 825-5765
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 822-4781
Practice Fax
(716) 825-5765
Enumeration Date
August 17, 2007
Last Updated
August 17, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
02636395 (NY)