Provider Demographics
NPI:1922363761
Name:HART, AMANDA MARGARET (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:MARGARET
Last Name:HART
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:VOGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:228 SANGER CIR
Mailing Address - Street 2:APT. 1
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-8948
Mailing Address - Country:US
Mailing Address - Phone:732-966-7983
Mailing Address - Fax:
Practice Address - Street 1:148 KEY RD STE B
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3927
Practice Address - Country:US
Practice Address - Phone:603-352-4199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist