Individual
MS. AMANDA BETH WYDEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 363-7303
(206) 826-1179
Mailing address
12550 AURORA AVE N, SEATTLE, WA 98133-8036
(206) 826-1097
(206) 826-1179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60233622
WA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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