Individual
MISS AMY ELIZABETH VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-2166
(706) 828-6646
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-2166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003213
GA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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