Individual
MRS. AMANDA KAY GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
9401 E 161ST ST S, BIXBY, OK 74008-5093
(918) 366-2249
Mailing address
19420 S YALE AVE, MOUNDS, OK 74047-5113
(918) 207-6342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14069119
OK
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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