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Amanda Mizelle, M.S.CCC-SLP

Speech-Language Pathologist, in Bolivia, NC. Individual provider (NPI-1).

NPI number1124156435
StatusActive
Last updated in NPPESMar 31, 2026

Details

NPI
1124156435
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Mizelle
Credential
M.S.CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2007
Certification date
Mar 31, 2026
Last updated
Mar 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2980NCYes

Practice location

35 Referendum Dr Ne
Bolivia, NC 28422-7578

Phone 910-406-5100 · Fax 866-293-0649

Mailing address

2003 E Oak Island Dr Ste 4
Oak Island, NC 28465-6326

Phone 919-815-5046

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Other Speech-Language Pathologist providers in Bolivia, NC

All 24 Speech-Language Pathologist providers in Bolivia · All 244 providers in Bolivia

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