Brill, Amanda Coffman
Brill, Amanda Coffman is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22604. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brill, Amanda Coffman can be contacted via phone (540) 536-1126.Contact Information
Primary practice address
1840 Amherst St
Winchester VA 22604
Phone: (540) 536-1126
Fax: (540) 536-5139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202005059 | Virginia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1095 | West Virginia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12100992 |
Profile Details
| NPI number | 1508069337 |
|---|---|
| LBN Legal business name | Brill, Amanda Coffman |
| Credentials | M.S. CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Oct 29th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508069337 | NPPES |
| West Virginia | MEDICAID | 3810009984 | |
| West Virginia | Other | 12100992 | |
| West Virginia | Other | 2202005059 | |
| West Virginia | Other | SLP-1095 |
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