Individual
AMANDA AERYN EMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 N HICKORY ST, NORTH LITTLE ROCK, AR 72114-4953
(501) 909-1470
Mailing address
9778 SPRINGHILL FARMS DR, ALEXANDER, AR 72002-8998
(501) 909-1470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226016721
—
AR
Enumeration date
08/24/2016
Last updated
08/17/2021
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