Individual
MRS. AMANDA BOYLES SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
6140 WOODSIDE EXECUTIVE COURT, AIKEN, SC 29803-3822
(803) 642-0700
(803) 642-0588
Mailing address
6140 WOODSIDE EXECUTIVE COURT, AIKEN, SC 29803-3822
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4949
SC
Other
Enumeration date
12/01/2011
Last updated
05/14/2014
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