Individual
MRS. AMANDA ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
14448 N IBSEN DR, FOUNTAIN HILLS, AZ 85268-2921
(602) 531-0876
Mailing address
14448 N IBSEN DR, FOUNTAIN HILLS, AZ 85268-2921
(602) 531-0876
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA 6790
AZ
2355S0801X
Speech-Language Assistant
SLPL6653
AZ
2355S0801X
Speech-Language Assistant
THL631
PR
Other
Enumeration date
06/19/2007
Last updated
11/22/2010
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