Individual
AMANDA SHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
140 N WRIGHT ST, NAPERVILLE, IL 60540-4748
(630) 355-6533
Mailing address
600 BLUEGRASS DR, WHEATON, IL 60189-2146
(630) 229-5302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2416270
IL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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