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Individual

AMANDA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 643-4135
Mailing address
202 MENSH AVE, SEBASTIAN, FL 32958-5336
(772) 643-4135

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI5546
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ11470
FL

Other

Enumeration date
08/02/2023
Last updated
09/03/2023
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