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NPI 1376041947 · live from the CMS NPI Registry

Amanda Charlee Abner, CF-SLP

Speech-Language Pathologist, in Orange City, FL. National Provider Identifier 1376041947, active.

NPI record

NPI1376041947 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location2705 Rebecca Ln Ste B, Orange City, FL 32763
Practice phone386-532-8255
Mailing address25345 Saint Anne St, Sorrento, FL 32776
EnumeratedJanuary 29, 2018
Last updatedDecember 4, 2019
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, 235Z00000XSZ8467 (FL)
Speech-Language Pathologist, primary235Z00000X29518 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.