Individual
AMANDA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 RUTHERWOOD CT, CARMEL, IN 46280-1752
(765) 427-6588
Mailing address
1121 RUTHERWOOD CT, CARMEL, IN 46280-1752
(765) 427-6588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004938A
IN
Other
Enumeration date
01/17/2013
Last updated
04/03/2023
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