Individual
AMANDA TULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 E KIMBROUGH ST, MESQUITE, TX 75149-4420
(214) 497-1486
Mailing address
2548 BROOK HOLLOW CT, MESQUITE, TX 75150-1221
(214) 497-1486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100899
TX
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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