Provider Demographics
NPI:1437494762
Name:KRASOWSKI, AMANDA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:KRASOWSKI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:ARTHALONY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:535 DOCK ST
Mailing Address - Street 2:104
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4614
Mailing Address - Country:US
Mailing Address - Phone:253-874-9300
Mailing Address - Fax:206-374-2533
Practice Address - Street 1:535 DOCK ST
Practice Address - Street 2:104
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4614
Practice Address - Country:US
Practice Address - Phone:253-874-9300
Practice Address - Fax:206-374-2533
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60294093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist