Healthcare Provider Details

I. General information

NPI: 1487347720
Provider Name (Legal Business Name): AMANDA MORGAN STRAUSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 ELIZABETH AVE
LAURELDALE PA
19605-2259
US

IV. Provider business mailing address

45 SAGEBROOK DR
READING PA
19606-9175
US

V. Phone/Fax

Practice location:
  • Phone: 610-921-9292
  • Fax:
Mailing address:
  • Phone: 484-219-7423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2204001142
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: