Individual
AMBER HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1339 COMMERCE AVE STE 105A, LONGVIEW, WA 98632-3738
(360) 261-1385
Mailing address
140 NEVADA PL, LONGVIEW, WA 98632-5688
(360) 261-1385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60647826
WA
Other
Enumeration date
06/19/2017
Last updated
10/10/2021
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