Individual
MRS. AMANDA MARIE CREADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(727) 726-1181
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000197700
—
FL
Enumeration date
10/03/2008
Last updated
07/21/2022
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