Individual
AMY L VAGEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3607 HEIRLOOM DR, BLOOMINGTON, IN 47401-5491
(812) 336-2718
Mailing address
6855 N STARNES RD, GOSPORT, IN 47433-9561
(812) 325-7886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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