Diederich, Amanda
Diederich, Amanda is an individual health care provider with primary practice located at 2201 Glenwood Ave , Joliet IL 60435-5574. She recently has only one registered license in Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, which is considered as her primary health care specialty. Diederich, Amanda can be contacted via phone (815) 725-1191.Contact Information
Primary practice address
2201 Glenwood Ave
Joliet IL 60435-5574
Phone: (815) 725-1191
Fax: (815) 725-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | 147001236 | Illinois |
Profile Details
| NPI number | 1548442049 |
|---|---|
| LBN Legal business name | Diederich, Amanda |
| Credentials | AUDIOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Jan 11th, 2012 - about 14 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.
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