Individual
AMANDA TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CC-SLP
Contact information
Practice address
450 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 269-3214
Mailing address
3500 DEPAUW BLVD STE 3060, INDIANAPOLIS, IN 46268-6135
(317) 939-4786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007296A
IN
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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