Individual
AMANDA LYNN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
1111 S 7TH ST, CHICKASHA, OK 73018-4407
(405) 812-2129
(405) 224-0133
Mailing address
1111 S 7TH ST, CHICKASHA, OK 73018-4407
(405) 812-2129
(405) 224-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3307
OK
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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