Individual
MISS AMANDA SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12440 ROJAS DR, EL PASO, TX 79928
(915) 937-0000
Mailing address
3029 SOLAR POINT LN, EL PASO, TX 79938-2021
(915) 209-9194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111374
TX
Other
Enumeration date
07/16/2015
Last updated
06/27/2018
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