Individual
AMANDA NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 SHAWNEE MISSION PKWY STE 207, OVERLAND PARK, KS 66202-4082
(888) 913-1910
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019032692
MO
235Z00000X
Speech-Language Pathologist
5418
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5418
KANSAS LICENSE
KS
Enumeration date
08/26/2019
Last updated
11/01/2023
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