Individual
AMANDA KATE WOODMANSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 619-6061
(480) 998-8215
Mailing address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 619-6061
(480) 998-8215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6855
AZ
Other
Enumeration date
06/23/2010
Last updated
06/22/2011
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