Individual
AMY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2805 PONTIAC LN APT 2626, AURORA, IL 60502-8819
(616) 254-7576
Mailing address
2805 PONTIAC LN APT 2626, AURORA, IL 60502-8819
(616) 254-7576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013123
IL
235Z00000X
Speech-Language Pathologist
7101005431
MI
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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