Individual
AMY STADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
9281 EMILY DR, DAVISON, MI 48423-2868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000266
MI
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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