Individual
AMANDA ELIZABETH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
803 MOUNTAIN SCENERY RD, ROARING RIVER, NC 28669-8096
(440) 897-2096
(336) 450-1929
Mailing address
PO BOX 65, ROARING RIVER, NC 28669-0065
(440) 897-2096
(336) 450-1929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10831
NC
Other
Enumeration date
05/05/2014
Last updated
12/08/2024
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