Individual
AMANDA FULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1014 WINDSOR LAKES BLVD, THE WOODLANDS, TX 77384-4886
(936) 273-9424
Mailing address
11 RUSSET WOOD CT, SPRING, TX 77381-2649
(254) 498-4030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104081
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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