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Individual

AMANDA HATFIELD HUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-1627
(706) 721-3813
(706) 721-1459
Mailing address
210 4TH ST, APT A, AUGUSTA, GA 30901-1627
(706) 721-2482

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET001437
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP007360
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
312717695B
GA
Enumeration date
06/18/2009
Last updated
05/02/2024
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