Organization
AMPLIFIED SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DYKSTRA SPL (OWNER)
(714) 501-0557
Entity
Organization
Contact information
Practice address
9209 W WAKEFIELD ST, BOISE, ID 83714-6708
(714) 501-0557
Mailing address
9209 W WAKEFIELD ST, BOISE, ID 83714-6708
(714) 501-0557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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