Individual
MS. AMANDA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
871 OLD ALICE RD STE 100, BROWNSVILLE, TX 78520-8269
(956) 554-0006
Mailing address
4970 DAFFODIL DR, BROWNSVILLE, TX 78526-1226
(956) 545-5165
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36650
SPEECH ASSISTANT LICENSE
—
Enumeration date
08/09/2018
Last updated
08/09/2018
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