Individual
MS. AMANDA RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
1515 MAIN ST, HIGHLAND, IL 62249-1656
(618) 651-2720
(618) 651-2722
Mailing address
1515 MAIN ST, ST. JOSEPH'S HOSPITAL, HIGHLAND, IL 62249
(618) 651-2720
(618) 651-2722
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000830
IL
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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