Individual
MRS. AMANDA DANIELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
1094 EISENHOWER DR STE A, SAVANNAH, GA 31406-2602
(912) 335-1650
Mailing address
6 GABLES DR, POOLER, GA 31322-9693
(912) 667-6468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008055
GA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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