Individual
AMANDA MARIE SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8514 SIX FORKS RD STE 102, RALEIGH, NC 27615-3254
(919) 465-4424
Mailing address
7641 FALCON REST CIR, RALEIGH, NC 27615-2541
(704) 909-9377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30000800
NC
Other
Enumeration date
05/10/2022
Last updated
08/15/2025
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