Individual
AMANDA ANN HOUSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
Mailing address
68 BRIDGEWATER DR, BLUFFTON, SC 29910-6143
(158) 578-6763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6426
SC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA2018
—
SC
Enumeration date
05/24/2017
Last updated
02/25/2022
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