Doctor Name: | MRS. AMANDA CHRISTINE WOLFE |
NPI Number: | 1164781043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 22005002A |
Business Practice Address: | 1450 E Crossing Blvd Terre Haute, IN - 478025316 |
Business Phone Number: | 8122988209 |
Business Fax Number: | |
Mailing Address: | 3849 W Old Us Highway 40, WEST TERRE HAUTE |
State: | IN |
Postal Code: | 478858922 |
Phone Number: | 8122514909 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22005002A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |