Ford, Amanda

Ford, Amanda is an individual health care provider with primary practice located at 9400 Mayfield Ct , Manassas VA 20110-5794. 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. Ford, Amanda can be contacted via phone (571) 377-6721.

Contact Information

Primary practice address
9400 Mayfield Ct Manassas VA 20110-5794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202008708 Virginia

Profile Details

NPI number 1932607538
LBN Legal business name Ford, Amanda
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2018
Last updated Jan 29th, 2018 - about 8 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 1932607538 NPPES
Virginia Other 2202008708 COMMONWEALTH OF VA, DEPARTMENT OF HEALTH PROFESSIONS

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