Provider Demographics
NPI:1386795599
Name:AZMAN, AMANDA (AUD CCC-A)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:AZMAN
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:MOXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD CCC-A
Mailing Address - Street 1:368 FERNHILL AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-1315
Mailing Address - Country:US
Mailing Address - Phone:412-897-2768
Mailing Address - Fax:412-291-3109
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:STE 202
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-9754
Practice Address - Fax:412-291-3109
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006002231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist