Individual
AMANDA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1775 VILLAGE CENTER CIR STE 190, LAS VEGAS, NV 89134-0571
(702) 463-5460
(888) 316-4826
Mailing address
3644 S FORT APACHE RD APT 2063, LAS VEGAS, NV 89147-3416
(440) 506-5127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3100
NV
235Z00000X
Speech-Language Pathologist
SP.12332
OH
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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