Individual
AMANDA DANIELLE BERTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
784 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-7724
(904) 264-2636
(904) 517-1621
Mailing address
784 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-7724
(904) 264-2636
(904) 517-1621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16760
FL
Other
Enumeration date
11/14/2018
Last updated
08/05/2020
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