Individual
AMANDA GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, SLP
Contact information
Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-7768
Mailing address
250 DAVIS LN, COLUMBIA, KY 42728-8877
(817) 526-4338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
243651
KY
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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