Individual
AMANDA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1603 GOODWIN RD, RUSTON, LA 71270-2907
(318) 255-7550
(318) 255-7552
Mailing address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 388-8414
(318) 388-8558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6217
LA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3804999
—
LA
Enumeration date
07/13/2009
Last updated
01/23/2023
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