Individual
AMANDA JAYNE OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
2931 ESSARY RD, KNOXVILLE, TN 37918-2404
(865) 748-5242
Mailing address
3009 LEGG LN, KNOXVILLE, TN 37924-1302
(865) 933-2846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1704
TN
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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