Doctor Name: | MRS. AMANDA PAIGE BELLOWS |
NPI Number: | 1053732131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLA |
License Number: | 4765 |
Business Practice Address: | 315 E Clinton St Hobbs, NM - 882408238 |
Business Phone Number: | 5753930755 |
Business Fax Number: | 5753930249 |
Mailing Address: | 315 E Clinton St, HOBBS |
State: | NM |
Postal Code: | 882408238 |
Phone Number: | 5753930755 |
Fax Number: | 5753930249 |
NPI Enumeration Date: | 12/17/2013 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 4765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |