Provider Demographics
NPI:1255142675
Name:VECELLIO, AMANDA PAIGE (HAD)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:PAIGE
Last Name:VECELLIO
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 W CHANDLER BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6239
Mailing Address - Country:US
Mailing Address - Phone:480-214-9000
Mailing Address - Fax:480-214-9999
Practice Address - Street 1:1968 N PEART RD STE 20
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2497
Practice Address - Country:US
Practice Address - Phone:480-214-9000
Practice Address - Fax:480-214-9999
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHADE15831237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist