Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
716 INDIAN TRL STE 140, HARKER HEIGHTS, TX 76548-5702
(254) 213-2952
Mailing address
359 VILLAGE COMMONS BLVD APT 1403, GEORGETOWN, TX 78633-3002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119120
TX
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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