Provider Demographics
NPI:1467650333
Name:BRAY-HOOKER, AMANDA RYAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:RYAN
Last Name:BRAY-HOOKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Other - Suffix:
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Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:116 S ELMER AVE
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-2006
Practice Address - Country:US
Practice Address - Phone:570-887-2849
Practice Address - Fax:570-887-2244
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
PASL009185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist