Amanda K Kidd, MS, CCC-SLP
Speech-Language Pathologist, in Tampa, FL. Individual provider (NPI-1).
NPI number1902575459
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1902575459
- Entity type
- Individual (NPI-1)
- Name
- Amanda K Kidd
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA20671 | FL | Yes |
| 235Z00000X | Speech-Language Pathologist, | SZ10319 | FL |
Practice location
2111 W Swann Ave Ste 100Tampa, FL 33606-2478
Phone 813-251-1618
Mailing address
5000 Culbreath Key Way Apt 5501Tampa, FL 33611-6012
Phone 813-468-7881
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