Individual
AMY ELIZABETH DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 633-5676
(936) 633-5695
Mailing address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 633-5676
(936) 633-5695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17350
TX
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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