Individual
AMANDA RENEE RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4748 MUND RD, SHAWNEE, KS 66218-9442
(913) 825-9332
Mailing address
4748 MUND RD, SHAWNEE, KS 66218-9442
(913) 825-9332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2477
KS
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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