Individual
MRS. AMY MICHELLE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
521 NE 25TH AVE, OCALA, FL 34470-7034
(352) 401-7916
Mailing address
2206 NE 38TH TER, OCALA, FL 34470-8176
(352) 895-5803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10624
FL
Other
Enumeration date
01/21/2013
Last updated
09/08/2014
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