| Doctor Name: | MRS. AMANDA J SUMRALL |
| NPI Number: | 1861839805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.,-SLP |
| License Number: | 8624516-4102 |
| Business Practice Address: | 1664 North Virginia Street Ms 0152 Reno, NV - 895570152 |
| Business Phone Number: | 7757844095 |
| Business Fax Number: | 7757844095 |
| Mailing Address: | 1664 North Virginia Steet, Ms 0152 RENO |
| State: | NV |
| Postal Code: | 895570152 |
| Phone Number: | 7757844887 |
| Fax Number: | 7757844095 |
| NPI Enumeration Date: | 05/31/2013 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8624516-4102 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| 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 |