Individual
AMANDA BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
4010 CRAINS RUN RD, MIAMISBURG, OH 45342-6245
(937) 847-2766
Mailing address
4010 CRAINS RUN RD, MIAMISBURG, OH 45342-6245
(937) 847-2766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2016208-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.12591
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295287837
—
OH
Enumeration date
10/31/2016
Last updated
05/10/2019
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