Individual
AMANDA GAIL REFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
1241 CARY CT, OWENSBORO, KY 42301-2875
(270) 570-1508
Mailing address
1241 CARY CT, OWENSBORO, KY 42301-2875
(270) 570-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
04/26/2007
Last updated
07/22/2015
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