Individual
MRS. AMANDA CARA DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
Mailing address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13712
FL
Other
Enumeration date
09/22/2014
Last updated
08/02/2019
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