Botha, Amanda Jane

Botha, Amanda Jane is an individual health care provider with primary practice located at 602 Mariner Bay Blvd , Hutchinson Island FL 34949-3602. 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. Botha, Amanda Jane can be contacted via phone (954) 439-6043.

Contact Information

Primary practice address
602 Mariner Bay Blvd Hutchinson Island FL 34949-3602
Phone: (954) 439-6043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12524 Florida

Profile Details

NPI number 1578827853
LBN Legal business name Botha, Amanda Jane
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2012
Last updated Oct 25th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578827853 NPPES
Florida MEDICAID 013297100

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