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Individual

MRS. AMANDA J SUMRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,-SLP

Contact information

Practice address
634 PYRAMID WAY, SPARKS, NV 89431
(775) 336-0211
(775) 336-0213
Mailing address
634 PYRAMID WAY, SPARKS, NV 89431-5059
(775) 336-0211
(775) 336-0213

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8624516-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
SP-1364
NV
235Z00000X
Speech-Language Pathologist
UT

Other

Enumeration date
05/31/2013
Last updated
11/27/2018
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