Individual
MRS. AMANDA ELIZABETH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
Mailing address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3449
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200233550A
—
OK
Enumeration date
02/25/2009
Last updated
02/06/2012
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