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Individual

AMY JEAN MEETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
10630 PEPPER RIDGE LN, MORENO VALLEY, CA 92557-2957
(951) 489-8200
Mailing address
10630 PEPPER RIDGE LN, MORENO VALLEY, CA 92557-2957
(951) 489-8200

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary
TSLP9428
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211305
AZ
Enumeration date
01/13/2015
Last updated
08/08/2017
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