Individual
AMANDA HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16255 VENTURA BLVD STE 1015, ENCINO, CA 91436-2318
(818) 741-7014
Mailing address
405 W ELK AVE APT 3, GLENDALE, CA 91204-1521
(310) 872-0508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30383
CA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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