Individual
MS. AMANDA EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
50 SHEPHERD LN, BEDFORD, KY 40006-8809
(502) 255-3244
Mailing address
326 OAK GROVE RD, MILTON, KY 40045-1550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004360A
IN
235Z00000X
Speech-Language Pathologist
Primary
KY-3173
KY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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