Individual
AMANDA BRUMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 FOUNTAIN LAKE DR, STAFFORD, TX 77477-3711
(601) 750-2920
Mailing address
10502 FOUNTAIN LAKE DR, STAFFORD, TX 77477-3711
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143
—
TX
Enumeration date
01/22/2018
Last updated
01/22/2018
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