Individual
AMANDA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2329 MYERS LN, LOGANSPORT, IN 46947-1038
(574) 722-9076
Mailing address
2329 MYERS LN, LOGANSPORT, IN 46947-1038
(574) 722-9076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002428A
IN
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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