Individual
AMANDA LISA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1133
Mailing address
518 BALMORAL RD, ELIZABETHTOWN, KY 42701-2211
(270) 304-4989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
298870
KY
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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