Individual
MRS. AMANDA HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700
(918) 684-3724
Mailing address
202 W BROADWAY ST, MUSKOGEE, OK 74401-6651
(918) 684-3700
(918) 684-3724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 3111
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063990C
—
OK
Enumeration date
06/18/2006
Last updated
08/23/2021
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