Individual
AMANDA BLEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 GRAND BLVD, VANCOUVER, WA 98661-4918
(360) 418-4357
Mailing address
611 GRAND BLVD, VANCOUVER, WA 98661-4918
(360) 418-4357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
521744C
WA
235Z00000X
Speech-Language Pathologist
Primary
LL60634848
WA
Other
Enumeration date
10/22/2015
Last updated
03/28/2016
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