National Provider Identifier
Amanda Elizabeth Hefferon, M.S.CCC-SLP
Amanda Elizabeth Hefferon, M.S.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 (585) 334-6000.
Profile Overview
- NPI
- 1497900310
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 19, 2008
- Last Updated
- January 30, 2020
Practice Location
- 3399 Winton RD S
- Rochester, NY 14623-3057
Phone: (585) 334-6000
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1497900310
- Entity Type
- Individual
- Last Name
- Hefferon
- First Name
- Amanda
- Middle Name
- Elizabeth
- Credential
- M.S.CCC-SLP
- Provider Other Last Name
- Treadway
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- Elizabeth
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3399 Winton RD S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-3057
- Mailing Country
- US
- Mailing Phone
- (585) 334-6000
- Mailing Fax
- (585) 334-2858
- Practice Street Address
- 3399 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3057
- Practice Country
- US
- Practice Phone
- (585) 334-6000
- Practice Fax
- (585) 334-2858
- Enumeration Date
- November 19, 2008
- Last Updated
- January 30, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)