Mcdaniel, Amanda
Mcdaniel, Amanda is an sole proprietor health care provider with primary practice located at 1603 Goodwin Rd , Ruston LA 71270-2907. 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. Mcdaniel, Amanda can be contacted via phone (318) 255-7550.Contact Information
Primary practice address
1603 Goodwin Rd
Ruston LA 71270-2907
Phone: (318) 255-7550
Fax: (318) 255-7552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6217 | Louisiana |
Profile Details
| NPI number | 1023247988 |
|---|---|
| LBN Legal business name | Mcdaniel, Amanda |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2009 |
| Last updated | Jan 23rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023247988 | NPPES |
| Louisiana | MEDICAID | 3804999 |
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