Individual
AMY PATRICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 508-6422
Mailing address
14454 BASILHAM LN, JACKSONVILLE, FL 32258-4423
(904) 955-9670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8873739
—
FL
Enumeration date
08/20/2007
Last updated
03/22/2011
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