Doctor Name: | AMANDA LYMANGOOD |
NPI Number: | 1295041077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 3394 |
Business Practice Address: | 7900 W 28th St St Louis Park, MN - 554263011 |
Business Phone Number: | 9529203859 |
Business Fax Number: | |
Mailing Address: | 7900 W 28th St, ST LOUIS PARK |
State: | MN |
Postal Code: | 554263011 |
Phone Number: | 9529208380 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2010 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3394 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |