Individual
MRS. AMY MARIE ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
640 PHILLIPS DR, COPPELL, TX 75019-6058
(469) 948-0847
Mailing address
640 PHILLIPS DR, COPPELL, TX 75019-6058
(469) 948-0847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19815
TX
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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