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Individual

AMANDA IRENE GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, CCC-SLP

Contact information

Practice address
550 PEACHTREE ST NE STE 1135, ATLANTA, GA 30308
(404) 778-3381
Mailing address
550 PEACHTREE ST NE STE 1135, ATLANTA, GA 30308-2234
(404) 778-3381

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL008447
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP010142
GA

Other

Enumeration date
12/11/2006
Last updated
07/03/2018
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