Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
450 LA MADERA ST, SANTA FE, NM 87501-2420
(505) 467-4500
Mailing address
4141 SOARING EAGLE LN, SANTA FE, NM 87507-0818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7774
NM
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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