Basic Information
| Provider Information | |||||||||
| NPI: | 1750752770 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GADSBY | ||||||||
| FirstName: | AMANDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 191 HOWARD ST STE 105 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163232387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144373071 | ||||||||
| FaxNumber: | 8144322269 | ||||||||
| Practice Location | |||||||||
| Address1: | 191 HOWARD ST STE 105 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163232387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144373071 | ||||||||
| FaxNumber: | 8144322269 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2015 | ||||||||
| LastUpdateDate: | 10/16/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL012328 | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.