Provider Demographics
NPI:1154774503
Name:QUAINTANCE, AMANDA (AUD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:QUAINTANCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S BROAD ST UNIT 2A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-5059
Mailing Address - Country:US
Mailing Address - Phone:302-266-2449
Mailing Address - Fax:
Practice Address - Street 1:774 CHRISTIANA RD BLDG SUITEB4
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4236
Practice Address - Country:US
Practice Address - Phone:302-266-2449
Practice Address - Fax:302-266-2450
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006477231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist