Individual
AMY SUSANNE AMANDA MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1051 S PLANO ST, PORTERVILLE, CA 93257-6026
(559) 781-0843
Mailing address
1400 W MAIN ST, VISALIA, CA 93291-5823
(559) 936-3636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14081
CA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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