Individual
AMANDA BLYTHE ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
700 UNIVERSITY AVE, SUGAR HALL 155C, MONROE, LA 71209-9000
(318) 342-1371
Mailing address
5939 NEW NATCHITOCHES RD, WEST MONROE, LA 71292-1218
(318) 342-1371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6294
LA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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