| Doctor Name: | AMANDA LEE KING |
| NPI Number: | 1487878898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP-CCC |
| License Number: | 12102075 |
| Business Practice Address: | 2851 S Parker Rd #426 Aurora, CO - 800142736 |
| Business Phone Number: | 3038884840 |
| Business Fax Number: | 3038884840 |
| Mailing Address: | 100 Wingfield Blvd, ROSWELL |
| State: | GA |
| Postal Code: | 300756221 |
| Phone Number: | 3038884840 |
| Fax Number: | 3033628986 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 06/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12102075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |