Individual
AMANDA S MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
940 BAYSIDE LN, MINNETRISTA, MN 55364
(952) 797-3430
Mailing address
PO BOX 608, MOUND, MN 55364-0608
(952) 797-3430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7089
MN
Other
Enumeration date
01/22/2015
Last updated
07/31/2018
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