Individual
AMANDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
24 TEKE BURTON DR, MITCHELL, IN 47446-7360
(812) 849-2221
Mailing address
1613 S DORCHESTER DR, BLOOMINGTON, IN 47401-6645
(205) 919-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002485A
IN
Other
Enumeration date
07/22/2014
Last updated
05/18/2015
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