Individual
AMANDA K KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2111 W SWANN AVE STE 100, TAMPA, FL 33606-2478
(813) 251-1618
Mailing address
5000 CULBREATH KEY WAY APT 5501, TAMPA, FL 33611-6012
(813) 468-7881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20671
FL
235Z00000X
Speech-Language Pathologist
SZ10319
FL
Other
Enumeration date
09/08/2021
Last updated
10/24/2022
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