Individual
AMANDA ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4400 WALNUT ST, GREENVILLE, TX 75401-5586
(903) 455-8729
Mailing address
5402 SAYLE ST APT 167, GREENVILLE, TX 75402-6323
(281) 222-9575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111705
TX
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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