Individual
MS. AMANDA LEVENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD CCC SLP
Contact information
Practice address
698 SAUTEE WOODS TRL, SAUTEE NACOOCHEE, GA 30571-2506
(470) 309-4220
Mailing address
PO BOX 1892, CARROLLTON, GA 30112-0036
(470) 309-4220
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
235Z00000X
Speech-Language Pathologist
Primary
008429
GA
Other
Enumeration date
04/02/2015
Last updated
08/31/2021
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