Individual
AMANDA ELIZABETH TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4650 W SUNSET BLVD, MS#115, LOS ANGELES, CA 90027-6062
(323) 361-7712
Mailing address
4650 W SUNSET BLVD, MS#53, LOS ANGELES, CA 90027-6062
(323) 361-7712
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
18510
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
08/04/2016
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