Individual
AMANDA LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5730 W CENTINELA AVE APT 308, LOS ANGELES, CA 90045-8815
(949) 939-7905
Mailing address
4470 W SUNSET BLVD # 92745, LOS ANGELES, CA 90027-6302
(949) 939-7905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19340
CA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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