Individual
AMANDA LINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
7840 MISSION CENTER CT, 200, SAN DIEGO, CA 92108-1319
(619) 692-0622
Mailing address
1111 HORNBLEND ST, 18, SAN DIEGO, CA 92109-4138
(909) 230-8117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9643
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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