Individual
AMANDA WAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 GRACE LILLY DR, BUDA, TX 78610-3988
(605) 228-0182
Mailing address
418 GRACE LILLY DR, BUDA, TX 78610-3988
(605) 228-0182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18444
OR
235Z00000X
Speech-Language Pathologist
37006
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
04/23/2025
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