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Individual

AMANDA MOORE HEUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
6245 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6006
(727) 376-1111
(727) 376-1113
Mailing address
6245 STATE ROAD 54, NEW PORT RICHEY, FL 34653-6006
(727) 376-1111
(727) 376-1113

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7405
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889468000
FL
Enumeration date
07/21/2006
Last updated
01/11/2019
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