Individual
MRS. AMANDA DIANE HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
342 BOWERWOOD DR, RICHMOND, KY 40475-2734
(859) 200-9563
Mailing address
342 BOWERWOOD DR, RICHMOND, KY 40475-2734
(859) 200-9563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3630
KY
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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