Doctor Name: | AMANDA DURON REID |
NPI Number: | 1851733687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, SLP |
License Number: | 105024 |
Business Practice Address: | 6610 Interstate 35 N Waco, TX - 767051136 |
Business Phone Number: | 2542357604 |
Business Fax Number: | 2542357612 |
Mailing Address: | 6610 Interstate 35 N, WACO |
State: | TX |
Postal Code: | 767051136 |
Phone Number: | 2542357604 |
Fax Number: | 2542357612 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |