Individual
AMANDA GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
165 S MAIN ST, TOOELE, UT 84074-2127
(435) 833-0725
Mailing address
192 PREAKNESS WAY, TOOELE, UT 84074-8172
(270) 703-4596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8149594-4102
UT
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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