Organization
AMANDA D'AUGUSTINO, MS, CCC-SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA D'AUGUSTINO MS, CCC-SLP (PRESIDENT)
(954) 648-7375
Entity
Organization
Contact information
Practice address
9607 NW 49TH CT, SUNRISE, FL 33351-5105
(954) 648-7375
Mailing address
9607 NW 49TH CT, SUNRISE, FL 33351-5105
(954) 648-7375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15700
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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