MEDICARE: AMANDA DUDIWKA

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
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1316890676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA DUDIWKA

Provider Business Mailing Address
First Line	:	420 WASHINGTON AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2042
Country	:	US
Telephone Number	:	330-945-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 WASHINGTON AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2042
Country	:	US
Telephone Number	:	330-945-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ AMANDA DUDIWKA ” Practice Location

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