Individual
MISS AMANDA BOGEY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
700B CROMWELL DR, GREENVILLE, NC 27858-5852
(252) 756-3099
(252) 756-0667
Mailing address
700B CROMWELL DR, GREENVILLE, NC 27858-5852
(252) 756-3099
(252) 756-0667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562047423
—
NC
Enumeration date
06/24/2013
Last updated
06/24/2013
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