Amanda Sanor, M.A., CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Minerva, OH

NPI 1780014043 · NPPES record last updated Nov 22, 2013

Key facts

NPI
1780014043
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP7881 (OH)
Practice address
400 Carolyn CT
Minerva, OH 44657-8703
Phone
(330) 868-4104
Fax
(330) 868-7714
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP7881OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP7881 OH Yes

Addresses

Primary practice location

400 Carolyn CT
Minerva, OH 44657-8703

Mailing address

8963 Kettering Rd
East Rochester, OH 44625-9716

Other providers in Minerva, OH

All providers in Minerva, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.