Individual
STEPHANIE ELIZABETH AMUNDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2885 10 MILE RD NE, ROCKFORD, MI 49341-9177
(616) 326-0010
(616) 326-0011
Mailing address
17872 CHEROKEE DR, SPRING LAKE, MI 49456-9404
(616) 502-5756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006303
MI
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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