Individual
AMANDA MICHELLE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7922 MOCCASIN TRAIL DR, RIVERVIEW, FL 33578-8611
(813) 525-0130
Mailing address
7922 MOCCASIN TRAIL DR, RIVERVIEW, FL 33578-8611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA23579
FL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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