# MRS. AMANDA KAY CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992913305
- **Gender:** F
- **Credential:** M.A., C.C.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 15571 | CA | — |
| 235Z00000X | Speech-Language Pathologist | SP-7716 | OH | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 07/07/2008