Individual
AMANDA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
98 BRIGGS ST, SUITE 990, SAN ANTONIO, TX 78224-1286
(210) 226-9536
Mailing address
9722 MEADOW DR, CONVERSE, TX 78109-2602
(817) 433-0721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
07/26/2010
Last updated
07/26/2010
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