Individual
AMY KENNEDY WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC SLP
Contact information
Practice address
6265 29TH AVE N, ST PETERSBURG, FL 33710-3207
(727) 384-8032
Mailing address
6265 29TH AVE N, ST PETERSBURG, FL 33710-3207
(727) 384-8032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 4057
FL
Other
Enumeration date
02/04/2007
Last updated
07/09/2007
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