National Provider Identifier

Amanda A Whipple

Amanda A Whipple is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 334-6000.

NPI 1356648745Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1356648745
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 21, 2011
Last Updated
June 01, 2015

Practice Location

  • 149 North Main Street
  • Fairport, NY 14450

Phone: (585) 334-6000

Mailing Address

  • 149 N Main St
  • Fairport, NY 14450-1434

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1356648745
Entity Type
Individual
Last Name
Whipple
First Name
Amanda
Middle Name
A
Provider Other Last Name
Farrand
Provider Other First Name
Amanda
Provider Other Middle Name
A
Provider Other Last Name Type Code
1
Mailing Street Address
149 N Main St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1434
Mailing Country
US
Mailing Phone
(585) 377-2230
Practice Street Address
149 North Main Street
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 334-6000
Practice Fax
(585) 334-2858
Enumeration Date
February 21, 2011
Last Updated
June 01, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
00355344 (NY)