Individual
AMANDA HENZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
29 PLANTATION PARK DR., SUITE 403, BLUFFTONO, SC 29910-9001
(843) 815-6999
(843) 815-6998
Mailing address
29 PLANTATION PARK DR., SUITE 403, BLUFFTON, SC 29910-9001
(843) 815-6999
(843) 815-6998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
993218634A
—
GA
Enumeration date
12/15/2006
Last updated
08/04/2011
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