Individual
AMANDA W. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9565 HIGHWAY 78, BUILDING 700 SUITE 102, LADSON, SC 29456
(888) 510-6369
(888) 510-9156
Mailing address
9565 HIGHWAY 78, BUILDING 700 SUITE 102, LADSON, SC 29456-4118
(888) 510-6369
(888) 510-9156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3754
SPEECH-LANGUAGE PATHOLOGIST
SC
05
—
SA0944
—
SC
Enumeration date
12/05/2008
Last updated
08/22/2018
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