Provider Demographics
NPI:1407631161
Name:VERDUCHI, AMANDA (MA CCC/SLP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:VERDUCHI
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL FALLS
Mailing Address - State:RI
Mailing Address - Zip Code:02863-2232
Mailing Address - Country:US
Mailing Address - Phone:401-727-7726
Mailing Address - Fax:
Practice Address - Street 1:112 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CENTRAL FALLS
Practice Address - State:RI
Practice Address - Zip Code:02863-2232
Practice Address - Country:US
Practice Address - Phone:401-727-7726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist