Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4680 HIDALGO AVE, SAN DIEGO, CA 92117-2503
(619) 605-1200
Mailing address
5586 BRAVO CT, SAN DIEGO, CA 92124-1313
(619) 252-4655
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
39519
CA
Other
Enumeration date
05/09/2019
Last updated
02/17/2026
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