Individual
AMANDA LYNN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5975
Mailing address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006642
MI
Other
Enumeration date
11/01/2018
Last updated
11/11/2020
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