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Individual

AMY MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD, CCC-A

Contact information

Practice address
783 N DENTON TAP RD STE 200, COPPELL, TX 75019-2171
(972) 745-8400
(972) 315-9053
Mailing address
783 N DENTON TAP RD STE 200, COPPELL, TX 75019-2171
(972) 745-8400
(972) 315-9053

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51512
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51512
STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE
TX
Enumeration date
07/10/2008
Last updated
02/27/2025
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