Amanda Nicole Ihle SLP

NPI 1740503572 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740503572
Gender Female
Enumeration Date 03/08/2010
Last Updated 03/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
472 PARK LN
HUDSON WI, 54016-7524, US
Phone (414) 339-4202
Fax
Business Location
472 PARK LN
HUDSON WI, 54016-7524, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Virginia
License Number 2202005776
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According to our database, Miss Amanda Nicole Ihle SLP NPI is 1740503572, taxonomy code is 235Z00000X and license number is 2202005776, license state is located at Virginia. Amanda Nicole Ihle SLP physically located at 472 Park Ln, Hudson WI, 54016-7524. NPI Number Amanda Nicole Ihle SLP has the Individual type.

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1740503572 NPI number is provided on an as is basis without warranty of any kind. 1740503572 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Nicole Ihle SLP are for informational purposes only.