Individual
AMANDA HAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
10260 WASHINGTON ST, #638, THORNTON, CO 80229-2053
(616) 520-1991
Mailing address
10260 WASHINGTON ST, #638, THORNTON, CO 80229-2053
(616) 520-1991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002018
CO
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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