Individual
DR. AMANDA MOORE BLASZCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
417 S 4TH ST, GADSDEN, AL 35901-5212
(256) 543-8899
(256) 543-8002
Mailing address
PO BOX 1399, GADSDEN, AL 35902-1399
(256) 543-8899
(256) 543-8002
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
868A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051509639
BLUE CROSS BLUE SHIELD
AL
05
—
051550822
—
AL
Enumeration date
08/25/2006
Last updated
10/14/2010
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