Provider Demographics
NPI:1194996967
Name:CARIO-COFFMAN, AMANDA N (MSCCC/SLP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:N
Last Name:CARIO-COFFMAN
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 N MAIN ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4349
Mailing Address - Country:US
Mailing Address - Phone:724-229-0851
Mailing Address - Fax:724-229-9252
Practice Address - Street 1:655 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4118
Practice Address - Country:US
Practice Address - Phone:724-223-7803
Practice Address - Fax:724-223-7804
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist