Individual
AMANDA L DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
135 PLAZA DR, KERRVILLE, TX 78028-2230
(830) 460-9364
Mailing address
551 HILL COUNTRY DR, KERRVILLE, TX 78028-6085
(302) 943-9569
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
04-0000282
DE
235Z00000X
Speech-Language Pathologist
01-0001165
DE
235Z00000X
Speech-Language Pathologist
Primary
111074
TX
Other
Enumeration date
08/11/2010
Last updated
02/14/2023
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