Individual
MS. AMANDA CATHERINE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7429 RUE HENRI, BATON ROUGE, LA 70806-7525
(225) 921-7686
Mailing address
7429 RUE HENRI, BATON ROUGE, LA 70806-7525
(225) 921-7686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5923
LA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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