White, Amanda

White, Amanda is an individual health care provider with primary practice located at 700 Gw Ln , Waynesville MO 65583-2325. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. White, Amanda can be contacted via phone (573) 814-6266.

Contact Information

Primary practice address
700 Gw Ln Waynesville MO 65583-2325
Phone: (573) 814-6266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2015021457 Missouri

Profile Details

NPI number 1609250513
LBN Legal business name White, Amanda
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 2015 - about 11 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 1609250513 NPPES
Missouri Other 2015021457 LICENSE

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