Provider Demographics
NPI:1275377228
Name:DUNKLEY, AMANDA KRASNOFF (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:KRASNOFF
Last Name:DUNKLEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14501 SARUM TER
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6047
Mailing Address - Country:US
Mailing Address - Phone:757-617-1957
Mailing Address - Fax:
Practice Address - Street 1:1901 LIBBIE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1808
Practice Address - Country:US
Practice Address - Phone:804-281-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist