Provider Demographics
NPI:1871752337
Name:WALKER, AMANDA GRACE (MA,CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:GRACE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ASHTON LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2144
Mailing Address - Country:US
Mailing Address - Phone:413-575-0155
Mailing Address - Fax:
Practice Address - Street 1:34 MILL ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3228
Practice Address - Country:US
Practice Address - Phone:413-575-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist