Provider Demographics
NPI:1386365153
Name:SINGH, AMANDA S
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:S
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9737 TRANQUILITY LAKE CIR APT 406
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4024
Mailing Address - Country:US
Mailing Address - Phone:813-323-6653
Mailing Address - Fax:
Practice Address - Street 1:9737 TRANQUILITY LAKE CIR APT 406
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4024
Practice Address - Country:US
Practice Address - Phone:813-323-6653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI55902355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty