Individual
AMANDA BETH FAMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 24TH AVE NW, NORMAN, OK 73069-6490
(056) 014-3034
Mailing address
PO BOX 892373, OKLAHOMA CITY, OK 73189-2373
(405) 601-4303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6199
OK
235Z00000X
Speech-Language Pathologist
CF548
OK
Other
Enumeration date
11/06/2019
Last updated
06/27/2025
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