Berg, Amanda

Berg, Amanda is an individual health care provider with primary practice located at 308 Ne 2Nd St , Wagoner OK 74441. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Berg, Amanda can be contacted via phone (918) 485-4046.

Contact Information

Primary practice address
308 Ne 2Nd St Wagoner OK 74441
Phone: (918) 485-4046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1912447608
LBN Legal business name Berg, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Mar 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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