Amy K Mirdo M.A., CCC-SLP

NPI 1790026839 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790026839
Gender Female
Enumeration Date 03/14/2013
Last Updated 03/19/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2176 WEST ST
#206
GERMANTOWN TN, 38138-3869, US
Phone (901) 328-2110
Fax (901) 328-1360
Business Location
2176 WEST ST
#206
GERMANTOWN TN, 38138-3869, US
Phone (901) 328-2110
Fax (901) 328-1360
Toxanomy
Taxonomy Code 235Z00000X
License State Tennessee
License Number 0000003963
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According to our database, Ms. Amy K Mirdo M.A., CCC-SLP NPI is 1790026839, taxonomy code is 235Z00000X and license number is 0000003963, license state is located at Tennessee. Amy K Mirdo M.A., CCC-SLP physically located at 2176 West St, Germantown TN, 38138-3869. NPI Number Amy K Mirdo M.A., CCC-SLP has the Individual type.

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1790026839 NPI number is provided on an as is basis without warranty of any kind. 1790026839 is maintained by the National Plan & Provider Enumeration System. The contents of Amy K Mirdo M.A., CCC-SLP are for informational purposes only.