Individual
AMANDA SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1608 E WEST HWY APT 245, SILVER SPRING, MD 20910-3012
(201) 960-2435
Mailing address
1608 E WEST HWY 245, SILVER SPRING, MD 20910
(201) 960-2435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07182
MD
Other
Enumeration date
10/10/2014
Last updated
11/25/2015
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