Individual
AMBER CHANTE DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
510 E NORTH BROADWAY ST, COLUMBUS, COLUMBUS, OH 43214-4114
(614) 263-5151
(614) 263-5365
Mailing address
510 E NORTH BROADWAY ST, COLUMBUS, COLUMBUS, OH 43214-4114
(614) 263-5151
(614) 263-5365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094740
—
OH
Enumeration date
09/04/2013
Last updated
09/04/2013
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