Individual
AMANDA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
255 OAK TRAIL DR, DOUBLE OAK, TX 75077-8252
(619) 361-9636
Mailing address
255 OAK TRAIL DR, DOUBLE OAK, TX 75077-8252
(619) 361-9636
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SPA 2660
CA
235Z00000X
Speech-Language Pathologist
Primary
116052
TX
Other
Enumeration date
03/03/2015
Last updated
05/20/2020
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