Individual
AMANDA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 W 64TH ST, INGLEWOOD, CA 90302-1130
(310) 991-0910
Mailing address
400 W 64TH ST, INGLEWOOD, CA 90302-1130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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