Randolph, Amanda

Randolph, Amanda is an individual health care provider with primary practice located at 1539 Country Club Rd , Fairmont WV 26554-1306. 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. Randolph, Amanda can be contacted via phone (304) 363-8479.

Contact Information

Primary practice address
1539 Country Club Rd Fairmont WV 26554-1306
Phone: (304) 363-8479
Fax: (304) 366-9125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12053347 West Virginia

Profile Details

NPI number 1528185881
LBN Legal business name Randolph, Amanda
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 27th, 2009 - about 17 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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