Individual
AMANDA TRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1210 EASTWOOD DR, SEGUIN, TX 78155-5134
(830) 379-9308
Mailing address
1210 EASTWOOD DR, SEGUIN, TX 78155-5134
(830) 379-9308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106207
TX
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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