| NPI | 1164805347 |
|---|---|
| Former Name | AMANDA RENEE STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4168-154) |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 9511) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22005045A) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-11-27 |