Individual
MRS. AMY NICOLE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP L
Contact information
Practice address
4435 LEAVINS ST, MILTON, FL 32583-9078
(217) 246-3051
Mailing address
4435 LEAVINS ST, MILTON, FL 32583-9078
(217) 246-3051
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA11193
FL
Other
Enumeration date
05/01/2007
Last updated
12/30/2024
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