Individual
MRS. AMY LOUISE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC- SLP
Contact information
Practice address
17110 CARRINGTON PARK DR APT 801, TAMPA, FL 33647-2634
(813) 243-6076
Mailing address
17110 CARRINGTON PARK DR APT 801, TAMPA, FL 33647-2634
(813) 243-6076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9180
FL
235Z00000X
Speech-Language Pathologist
SZ3746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354957
WELLCARE
FL
05
—
890741200
—
FL
Enumeration date
01/11/2007
Last updated
10/24/2023
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