Individual
MRS. AMANDA NEWTON KETCHERSID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2997 HIGHWAY 222, LEOLA, AR 72084-8843
(501) 626-9675
Mailing address
2997 HIGHWAY 222, LEOLA, AR 72084-8843
(501) 626-9675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1991
AR
Other
Enumeration date
11/25/2008
Last updated
09/02/2015
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