Individual
AMANDA TOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2205 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 238-2800
(662) 238-2808
Mailing address
PO BOX 1016, OXFORD, MS 38655-5221
(662) 238-2800
(662) 238-2808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2777
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170021
—
MS
Enumeration date
08/17/2006
Last updated
12/16/2009
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