Amanda Gagnon, MA, CCC-SLP is a 
Speech-language Pathologist based in Spotswood, New Jersey. Amanda Gagnon is licensed to practice in New Jersey (license number 41YS00938200) and her current practice location is 
441 Manalapan Rd, Spotswood, New Jersey. She can be reached at her office (for appointments etc.) via phone at 
(908) 616-4770.
NPI number for Amanda Gagnon is 1790240539 and her current mailing address is 441 Manalapan Rd, Spotswood, New Jersey. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790240539.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Amanda Gagnon | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 441 Manalapan Rd, Spotswood, New Jersey | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1790240539
 - Provider Enumeration Date: 02/06/2019
 - Last Update Date: 02/06/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Amanda Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1790240539 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  | 41YS00938200 (New Jersey) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Gagnon is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Amanda Gagnon, MA, CCC-SLP 441 Manalapan Rd, Spotswood, NJ 08884-1837 Ph: (908) 616-4770 | Amanda Gagnon, MA, CCC-SLP 441 Manalapan Rd, Spotswood, NJ 08884-1837 Ph: (908) 616-4770 | 
		
		 
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