AMANDA L WIENER
Speech and Language Pathologist


Address: 134 Fishing Trl, Stamford, CT 06903-2416

AMANDA L WIENER (Credential# 1029170) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

AMANDA L WIENER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004560. The credential type is speech and language pathologist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 134 Fishing Trl, Stamford, CT 06903-2416. The current status is active.

Basic Information

Licensee Name AMANDA L WIENER
Credential ID 1029170
Credential Number 18.004560
Credential Type Speech and Language Pathologist
Business Address 134 Fishing Trl
Stamford
CT 06903-2416
Business Type INDIVIDUAL
Status ACTIVE - PRIOR DISCIPLINE
Active 1
Issue Date 2012-07-20
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1036832 18-TEMP Speech and Language Pathologist Temporary Permit 2011-09-01 - 2012-06-21 INACTIVE

Office Location

Street Address 134 FISHING TRL
City STAMFORD
State CT
Zip Code 06903-2416

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Competitor

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City STAMFORD
Zip Code 06903
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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