Individual
AMANDA CAROL MAVRAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
400 VESTAVIA PKWY STE 135, VESTAVIA, AL 35216-3784
(205) 582-7717
(205) 855-3017
Mailing address
400 VESTAVIA PKWY STE 135, VESTAVIA, AL 35216-3784
(205) 582-7717
(205) 855-3017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4465
AL
Other
Enumeration date
05/12/2021
Last updated
12/28/2023
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