Individual provider · NPI-1

Amanda Deroy, SLP

Speech-Language Pathologist, · Buford, GA

NPI number1760694574
StatusActive
Last updated in NPPESMay 12, 2015

Details

NPI
1760694574
Entity type
Individual (NPI-1)
Name
Amanda Deroy
Credential
SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 4, 2007
Last updated
May 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP004505GAYes

Practice location

470 S Hill St
Buford, GA 30518-3220

Phone 678-482-6100 · Fax 770-932-5684

Mailing address

470 S Hill St
Buford, GA 30518-3220

Phone 678-482-6100 · Fax 770-932-5684

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