Individual
MISS AMANDA FOUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4482 FORD AVE, LINDEN, MI 48451-9189
(954) 540-4808
(888) 232-1831
Mailing address
4482 FORD AVE, LINDEN, MI 48451-9189
(954) 540-4808
(888) 232-1831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005581
MI
235Z00000X
Speech-Language Pathologist
SA 6775
FL
Other
Enumeration date
10/02/2006
Last updated
06/26/2019
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