Individual
MS. AMY PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1833 SUMMER PLACE DR E, MOBILE, AL 36618-3238
(251) 460-0691
Mailing address
1833 SUMMER PLACE DR E, MOBILE, AL 36618-3238
(251) 460-0691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1103
AL
Other
Enumeration date
02/16/2008
Last updated
02/16/2008
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