Individual
AMANDA MELISSA HOLSONBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
951 S BALLARD AVE, WYLIE, TX 75098-4175
(972) 429-3000
Mailing address
1320 FORD LN, LUCAS, TX 75002-8900
(214) 531-0305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106654
TX
235Z00000X
Speech-Language Pathologist
14061443
—
Other
Enumeration date
08/20/2018
Last updated
09/02/2022
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