Provider Demographics
NPI:1619189032
Name:MEANS, AMANDA SUE (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SUE
Last Name:MEANS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:SUE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3511
Mailing Address - Country:US
Mailing Address - Phone:276-964-7439
Mailing Address - Fax:
Practice Address - Street 1:7 11TH ST
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3511
Practice Address - Country:US
Practice Address - Phone:304-630-6002
Practice Address - Fax:304-630-6003
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0222237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVA-0222OtherWEST VIRGINIA AUDIOLOGY LICENSE