Doctor Name: | MRS. AMANDA GUTHRIE |
NPI Number: | 1619372802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED CF-SLP |
License Number: | PCET002123 |
Business Practice Address: | 933 E G Miles Pkwy Hinesville, GA - 313138072 |
Business Phone Number: | 9123358486 |
Business Fax Number: | |
Mailing Address: | 933 E G Miles Pkwy, HINESVILLE |
State: | GA |
Postal Code: | 313138072 |
Phone Number: | 9123358486 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | PCET002123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |