Individual
AMANDA KATHERINE DE GEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 ALTGELT AVE, SAN ANTONIO, TX 78201-1804
(210) 992-3759
Mailing address
225 ALTGELT AVE, SAN ANTONIO, TX 78201-1804
(210) 992-3759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655730-01
—
TX
Enumeration date
08/15/2022
Last updated
08/15/2022
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