Organization
AMANDA'S SLP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JOHNSON MS,CCC-SLP (OWNER)
(618) 334-4550
Entity
Organization
Contact information
Practice address
8 EAGLE CTR STE 5, O FALLON, IL 62269-1947
(618) 334-4550
(877) 418-7178
Mailing address
8 EAGLE CTR STE 5, O FALLON, IL 62269-1947
(618) 334-4550
(877) 418-7178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011341
IL
Other
Enumeration date
10/23/2013
Last updated
02/27/2015
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