Individual
AMANDA JANE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1043 BROOKLYN BLVD, BEREA, KY 40403-1090
(859) 228-0551
Mailing address
1008 BURNELL DR, BEREA, KY 40403-9040
(859) 582-3975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00225539
KY
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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