Individual
AMANDA RAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CF-SLP
Contact information
Practice address
2760 DORA AVE, TAVARES, FL 32778-4970
(352) 742-7837
(352) 508-5113
Mailing address
1217 TEAGAN WAY., LEESBURG, FL 34748
(561) 373-7926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10077
FL
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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