Individual
AMANDA MICHELE GEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1164 BROADWAY, ALAMEDA, CA 94501-5344
(415) 238-8418
Mailing address
1164 BROADWAY, ALAMEDA, CA 94501-5344
(415) 238-8418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17273
CA
Other
Enumeration date
06/05/2017
Last updated
01/11/2022
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