Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410A N AUGUSTA ST, STAUNTON, VA 24401-2449
(540) 213-6787
Mailing address
1410A N AUGUSTA ST, STAUNTON, VA 24401-2449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006159
VA
Other
Enumeration date
12/19/2011
Last updated
10/22/2013
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