Provider Demographics
NPI:1265808091
Name:DIDONNE, AMY
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:DIDONNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4283
Mailing Address - Country:US
Mailing Address - Phone:407-855-9799
Mailing Address - Fax:
Practice Address - Street 1:6044 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4283
Practice Address - Country:US
Practice Address - Phone:407-855-9799
Practice Address - Fax:321-245-0465
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23-261097106S00000X
FLS159932355S0801X
FLAST446237700000X
FLAS5150237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant