Amanda Weaver Long CCC-SLP

NPI 1457792889 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1457792889
Gender Female
Enumeration Date 07/15/2013
Last Updated 07/30/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1780 SUNFLOWER CIR
TUPELO MS, 38801-8193, US
Phone (828) 273-3119
Fax
Business Location
1780 SUNFLOWER CIR
TUPELO MS, 38801-8193, US
Phone (828) 273-3119
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State
License Number
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According to our database, Mrs. Amanda Weaver Long CCC-SLP NPI is 1457792889, taxonomy code is 235Z00000X Amanda Weaver Long CCC-SLP physically located at 1780 Sunflower Cir, Tupelo MS, 38801-8193. NPI Number Amanda Weaver Long CCC-SLP has the Individual type.

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1457792889 NPI number is provided on an as is basis without warranty of any kind. 1457792889 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Weaver Long CCC-SLP are for informational purposes only.