AMANDA RUTH LANE

PADUCAH, KY
NPI1003013590
Former NameAMANDA RUTH MATHIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  3125)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
Mrs. AMANDA RUTH LANE M.S. CCC-SLP
867 MCGUIRE AVE
PADUCAH, KY 42001-4036
Phone number: 270-442-6168
Mailing Address
Mrs. AMANDA RUTH LANE M.S. CCC-SLP
1186 HALE SPRINGS RD
BENTON, KY 42025-4713
Phone number: 270-252-0203