Doctor Name: | AMANDA TOSH |
NPI Number: | 1063525590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | S2777 |
Business Practice Address: | 2205 Jefferson Davis Dr Oxford, MS - 386555221 |
Business Phone Number: | 6622382800 |
Business Fax Number: | 6622382808 |
Mailing Address: | Po Box 1016, OXFORD |
State: | MS |
Postal Code: | 386555221 |
Phone Number: | 6622382800 |
Fax Number: | 6622382808 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 12/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |