Individual
AMANDA MELE AHSOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12727 NORTHUP WAY STE 1, BELLEVUE, WA 98005-1917
(425) 533-5402
Mailing address
412 BROADWAY APT 611, SEATTLE, WA 98122-5585
(714) 277-9394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2019
Last updated
11/01/2020
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