Healthcare Provider Details

I. General information

NPI: 1043148489
Provider Name (Legal Business Name): AMANDA MICHELLE KASZA SLP-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA MICHELLE GARCIA

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CROSS RD
AMHERST NH
03031-2123
US

IV. Provider business mailing address

51 FRANCESTOWN TPKE
MONT VERNON NH
03057-1226
US

V. Phone/Fax

Practice location:
  • Phone: 917-405-3697
  • Fax:
Mailing address:
  • Phone: 917-405-3697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3592
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: