Individual
AMANDA MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6111
Mailing address
507 E 13TH ST, ELLIS, KS 67637-1728
(785) 259-6838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3310
KS
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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