Doctor Name: | AMANDA LYNN MCCLURE |
NPI Number: | 1578801270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 1546 |
Business Practice Address: | 1102 N Harrison St Oneill, NE - 687632230 |
Business Phone Number: | 4023362384 |
Business Fax Number: | |
Mailing Address: | 49187 808th Rd, SCOTIA |
State: | NE |
Postal Code: | 688755155 |
Phone Number: | 4197072712 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |