Individual
AMANDA JADE CLAYTON VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
Mailing address
1060 OLD SAN ANTONIO RD, BUDA, TX 78610-7900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109565
TX
Other
Enumeration date
06/05/2014
Last updated
10/17/2022
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