Doctor Name: | AMANDA LYNNE STALLINGS |
NPI Number: | 1013163468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S. |
License Number: | R# 09-001 |
Business Practice Address: | 2208 Fowler Ave Jonesboro, AR - 724016115 |
Business Phone Number: | 8709130808 |
Business Fax Number: | |
Mailing Address: | 661 Lawerance 203, IMBODEN |
State: | AR |
Postal Code: | 72434 |
Phone Number: | 8709261889 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | R# 09-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |