Individual
MISS AMANDA GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2626 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5042
(260) 497-0328
(260) 749-7090
Mailing address
1900 RIO CANYON CT APT 104, LAS VEGAS, NV 89128-2705
(260) 433-1076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1134
NV
Other
Enumeration date
05/10/2007
Last updated
06/21/2021
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