Individual
MRS. AMANDA MARIE TECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC- SLP
Contact information
Practice address
10130 SUGAR CREEK CIR, PENSACOLA, FL 32514-1688
(850) 712-0570
Mailing address
10130 SUGAR CREEK CIR, PENSACOLA, FL 32514-1688
(850) 712-0570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11900
FL
235Z00000X
Speech-Language Pathologist
SLP009604
GA
235Z00000X
Speech-Language Pathologist
SZ5421
FL
Other
Enumeration date
04/11/2012
Last updated
07/21/2022
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