Individual
AMANDA ELAINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1333 N BUFFALO DR UNIT 260, LAS VEGAS, NV 89128-3637
(702) 979-4268
Mailing address
650 EAST AZURE AVE., #3040, NORTH LAS VEGAS, NV 89081-9016
(509) 551-6888
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
SP-3128
NV
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
09/15/2021
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