MS. AMANDA RAE STANEK MS CCC-SLP - NPI 1962695080 - Specialist/Technologist in Roberts, WI

Q: What is the provider's specialty?

The provider's specialty is Specialist/Technologist with taxonomy code 235500000X.

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About Ms. Amanda Rae Stanek Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA RAE STANEK MS CCC-SLP (NPI 1962695080) is an individual specialist/technologist in Roberts, Wisconsin, licensed in Wisconsin (3037-154) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1962695080

Entity TypeIndividualFemale

Primary Taxonomy235500000X

Provider Legal NameMS. AMANDA RAE STANEKCredential: MS CCC-SLP

Location Address204 W WARREN STRoberts, WI 54023-9617

Mailing Address204 W Warren StRoberts, WI 54023-9617 · (715) 749-3890 · Fax (715) 749-4081

Phone(715) 749-3890

Fax(715) 749-4081

Sole ProprietorNo

Enumeration DateAugust 22, 2007

Last NPPES UpdateJune 29, 2010

✔ NPI 1962695080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/TechnologistSpeech, Language and Hearing Service Providers

Taxonomy Code235500000X

License✔ Licensed in WI · 3037-154

Definition

General classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure.

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 3037-154 (WI), 683620 (WI)

204 W WARREN ST, Roberts, WI 54023

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