Individual
AMANDA LYNN GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
102 MEDICAL PARK, HATTIESBURG, MS 39401-9080
(601) 261-5159
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-5159
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2814
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03689700
—
MS
Enumeration date
11/30/2010
Last updated
09/13/2021
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