Active NPIIndividual providerSole proprietor

Ms. Amanda Evanko, CCC-SLP

Speech-Language Pathologist, in Stratford, Connecticut

NPI Number1588067599
Practice location
695 Chapel St, Stratford, CT 06614-1672
Fax
—
Last updated
October 3, 2014

Amanda Evanko is a Speech-Language Pathologist, based in Stratford, CT. Amanda Evanko practices in Stratford, CT and has the professional credentials of CCC-SLP. The NPI Number for Amanda Evanko is 1588067599 and holds a License No. 004489 (CT). The current practice location address for Amanda Evanko is 695 Chapel St, Stratford, CT 06614-1672 and can be reached out via phone at 203-993-9913.

Provider Profile Details

NPI Number
1588067599
Provider Name
Amanda Evanko
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
695 Chapel St, Stratford, CT 06614-1672
Phone Number
203-993-9913
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2014
Last Update Date
October 3, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
695 Chapel St
Stratford, CT 06614-1672
Zip
06614-1672
Phone Number
203-993-9913
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
695 Chapel St
Stratford, CT 06614-1672
City
Stratford
State
CT
Zip
06614-1672
Phone Number
203-993-9913

License Information

License Number
004489
License State
CT
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 Ms. Amanda Evanko, CCC-SLP?

The NPI number of Ms. Amanda Evanko, CCC-SLP is 1588067599. It was assigned on October 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Amanda Evanko, CCC-SLP?

Ms. Amanda Evanko, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 004489.

Where does Ms. Amanda Evanko, CCC-SLP practice?

The practice location is 695 Chapel St, Stratford, CT 06614-1672. The office can be reached at 203-993-9913 (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 1588067599 directly on the NPPES registry website.

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