Individual
AMANDA POULTER POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2077 S INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23453-4780
(757) 837-0276
(757) 837-0277
Mailing address
2077 S INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23453-4780
(757) 837-0276
(757) 837-0277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008588
VA
Other
Enumeration date
07/23/2017
Last updated
11/29/2020
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