Provider Demographics
NPI:1457973513
Name:REED, AMANDA J (AUD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:REED
Suffix:
Gender:F
Credentials:AUD
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Other - Middle Name:
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Mailing Address - Street 1:19110 MONTGOMERY VILLAGE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3706
Mailing Address - Country:US
Mailing Address - Phone:301-977-6317
Mailing Address - Fax:301-977-8503
Practice Address - Street 1:1700 KINGFISHER DR STE 27
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4771
Practice Address - Country:US
Practice Address - Phone:301-846-0222
Practice Address - Fax:301-846-7707
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2021-08-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD472007500Medicaid