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NPI Code Detail

MEDICARE: MRS. AMANDA KRASNOFF DUNKLEY CCC-SLP

MEDICARE: MRS. AMANDA KRASNOFF DUNKLEY CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202005272VA

General Provider Information

NPI Number : 1275377228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA KRASNOFF DUNKLEY CCC-SLP
Provider Business Mailing Address
First Line : 14501 SARUM TER
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23113-6047
Country : US
Telephone Number : 757-617-1957
Fax Number :
Provider Business Practice Location Address
First Line : 1901 LIBBIE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23226-1808
Country : US
Telephone Number : 804-281-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 06/24/2024

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Directions to “ MRS. AMANDA KRASNOFF DUNKLEY CCC-SLP” Practice Location

Language Start Address Practice Location
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