National Provider Identifier
Amanda L Johannssen, CCC-SLP
Amanda L Johannssen, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (315) 717-9191.
Profile Overview
- NPI
- 1043571433
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 03, 2012
- Last Updated
- June 03, 2012
Practice Location
- 109 Troup St
- Rochester, NY 14608-2027
Phone: (315) 717-9191
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1043571433
- Entity Type
- Individual
- Last Name
- Johannssen
- First Name
- Amanda
- Middle Name
- L
- Credential
- CCC-SLP
- Mailing Street Address
- 109 Troup St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2027
- Mailing Country
- US
- Practice Street Address
- 109 Troup St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-2027
- Practice Country
- US
- Practice Phone
- (315) 717-9191
- Enumeration Date
- June 03, 2012
- Last Updated
- June 03, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 14060744 (NY, American Speech-Language Hearing Association Cerification)