Individual
MRS. AMY RENE VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
3704 HIGHWAY 377 S # A-B, FORT WORTH, TX 76116-9479
(817) 560-1139
Mailing address
3704 HIGHWAY 377 S # A-B, FORT WORTH, TX 76116-9479
(817) 560-1139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16361
TX
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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