Individual
MRS. AMANDA K DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1201 RIDGEDALE ST, BRYAN, TX 77803-3722
(979) 716-7573
Mailing address
2709 CARTER CREEK PKWY, BRYAN, TX 77802-2422
(979) 716-7573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108904
TX
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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