Individual
MS. AMANDA CORBETT AMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4624 SUMMERDALE DR, PACE, FL 32571-1368
(850) 994-3456
Mailing address
5929 CASTLE DR, MILTON, FL 32570-8771
(850) 324-8858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5191
FL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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