Provider Demographics
NPI:1922778315
Name:IOVANISCI, AMANDA ELISABETH (CF-SLP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ELISABETH
Last Name:IOVANISCI
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373-1014
Mailing Address - Country:US
Mailing Address - Phone:484-753-4035
Mailing Address - Fax:
Practice Address - Street 1:801 W 18TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-3852
Practice Address - Country:US
Practice Address - Phone:302-651-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist