National Provider Identifier

Amanda Rose Hutteman, CCC-SLP

Amanda Rose Hutteman, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Newark, NY and a listed phone number of (315) 332-3290.

NPI 1306608302Newark, NYSpeech-Language Pathologist

Profile Overview

NPI
1306608302
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 25, 2024
Last Updated
January 25, 2024

Practice Location

  • 701 Peirson Ave
  • Newark, NY 14513-2024

Phone: (315) 332-3290

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1306608302
Entity Type
Individual
Last Name
Hutteman
First Name
Amanda
Middle Name
Rose
Credential
CCC-SLP
Mailing Street Address
701 Peirson Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-2024
Mailing Country
US
Practice Street Address
701 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2024
Practice Country
US
Practice Phone
(315) 332-3290
Enumeration Date
January 25, 2024
Last Updated
January 25, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)