Individual
AMY AUGUSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 KILLEARN CENTER BLVD, APT. C60, TALLAHASSEE, FL 32309-3518
(850) 443-8602
Mailing address
2305 KILLEARN CENTER BLVD, APT. C60, TALLAHASSEE, FL 32309-3518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8904901 00
—
FL
Enumeration date
04/25/2008
Last updated
04/25/2008
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