Individual
AMANDA MARIE PHILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2505 WALDRON RD, CORPUS CHRISTI, TX 78418-4798
(361) 694-9650
Mailing address
2742 GOLD RUSH LN, CORPUS CHRISTI, TX 78410-2212
(210) 389-0885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112839
TX
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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