Individual
MRS. AMANDA KAY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.
Contact information
Practice address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(330) 225-4879
Mailing address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(330) 225-4879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15571
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-7716
OH
Other
Enumeration date
05/18/2007
Last updated
07/07/2008
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