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Individual

AMANDA S CROMBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 WEST 28 AND A HALF STREET, AUSTIN, TX 78705
(512) 478-2581
(512) 476-1638
Mailing address
9303 ROLLING OAKS TRL, AUSTIN, TX 78750-3809
(843) 367-6178

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24902
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88046T
BLUE CROSS
TX
Enumeration date
04/02/2007
Last updated
07/08/2007
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