Active NPIIndividual providerSole proprietor

Amanda Soran, MS, CCC-SLP

Speech-Language Pathologist, in Park Ridge, New Jersey

NPI Number1467078782
Practice location
141 Kinderkamack RD Ste K, Park Ridge, NJ 07656-1344
Fax
—
Last updated
November 18, 2025

Amanda Soran is a Speech-Language Pathologist, based in Park Ridge, NJ. Amanda Soran practices in Park Ridge, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Amanda Soran is 1467078782 and holds a License No. 41YS00984100 (NJ). The current practice location address for Amanda Soran is 141 Kinderkamack RD Ste K, Park Ridge, NJ 07656-1344 and can be reached out via phone at 973-525-5191.

Provider Profile Details

NPI Number
1467078782
Provider Name
Amanda Soran
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
141 Kinderkamack RD Ste K, Park Ridge, NJ 07656-1344
Phone Number
973-525-5191
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Amanda Tretiak (Former Name)
Provider Enumeration Date
June 23, 2020
Last Update Date
November 18, 2025
Certification Date
November 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Kinderkamack RD Ste K
Park Ridge, NJ 07656-1344
Zip
07656-1344
Phone Number
973-525-5191
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
73 West St
Closter, NJ 07624-1226
City
Closter
State
NJ
Zip
07624-1226
Phone Number
201-602-0520

License Information

License Number
41YS00984100
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Soran, MS, CCC-SLP?

The NPI number of Amanda Soran, MS, CCC-SLP is 1467078782. It was assigned on June 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Soran, MS, CCC-SLP?

Amanda Soran, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00984100.

Where does Amanda Soran, MS, CCC-SLP practice?

The practice location is 141 Kinderkamack RD Ste K, Park Ridge, NJ 07656-1344. The office can be reached at 973-525-5191 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467078782 directly on the NPPES registry website.

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