| Doctor Name: | MRS. AMANDA KAY CARLSON |
| NPI Number: | 1992913305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., C.C.C. |
| License Number: | 15571 |
| Business Practice Address: | 839 Pearl Rd Brunswick, OH - 442122559 |
| Business Phone Number: | 3302254182 |
| Business Fax Number: | 3302254879 |
| Mailing Address: | 839 Pearl Rd, BRUNSWICK |
| State: | OH |
| Postal Code: | 442122559 |
| Phone Number: | 3302254182 |
| Fax Number: | 3302254879 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 15571 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |