Individual
AMANDA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
112 W CITRUS ST, ALTAMONTE SPRINGS, FL 32714-2502
(407) 865-5642
Mailing address
1900 JAKE ST UNIT 105, ORLANDO, FL 32814-5915
(407) 227-8370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15071
FL
Other
Enumeration date
12/01/2015
Last updated
03/17/2018
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