Individual
AMANDA SUMMER SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CF-SLP
Contact information
Practice address
4000 EAGLE PASS, PLANO, TX 75023-4705
(469) 752-4300
Mailing address
2401 ASPEN ST, RICHARDSON, TX 75082-3326
(210) 334-5055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
120146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
TX
Enumeration date
08/31/2022
Last updated
08/31/2022
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