Provider Demographics
NPI:1295168011
Name:LEONARDI, AMANDA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:SILVERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:52 JOANNE LN
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1344
Mailing Address - Country:US
Mailing Address - Phone:716-418-6374
Mailing Address - Fax:
Practice Address - Street 1:212 STANTON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14212-1128
Practice Address - Country:US
Practice Address - Phone:716-816-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist