Individual
AMANDA GAYLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11665 AVENA PL, SUITE 106, SAN DIEGO, CA 92128-2421
(858) 673-5437
(858) 673-5434
Mailing address
3860 PENDIENTE CT, #103, SAN DIEGO, CA 92124-3752
(619) 302-2123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 14593
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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