Individual
AMANDA JORDAN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
308 FORD BLDG, DEPT OF CSD, PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802-3003
(814) 867-4339
Mailing address
308 FORD BLDG, DEPT OF CSD, PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802-3003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9444
NC
235Z00000X
Speech-Language Pathologist
Primary
SL012496
PA
Other
Enumeration date
05/12/2011
Last updated
09/16/2015
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