Gomez, Amanda P

Gomez, Amanda P is an individual health care provider with primary practice located at 4530 Nelson Brogdon Blvd Ste C , Buford GA 30518. 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. Gomez, Amanda P can be contacted via phone (678) 820-9606.

Contact Information

Primary practice address
4530 Nelson Brogdon Blvd Ste C Buford GA 30518
Phone: (678) 820-9606
Fax: (844) 820-9616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006456 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP 006456 Georgia

Profile Details

NPI number 1508068412
LBN Legal business name Gomez, Amanda P
Credentials MS-CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2007
Last updated Apr 21st, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508068412 NPPES
Georgia MEDICAID 003134692A
Georgia MEDICAID 198576913D

Popular Providers