Boudreaux, Amanda Faye

Boudreaux, Amanda Faye is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Boudreaux, Amanda Faye can be contacted via phone (760) 830-2850.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92278
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001485 Virginia

Profile Details

NPI number 1013281765
LBN Legal business name Boudreaux, Amanda Faye
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2012
Last updated Dec 26th, 2018 - about 6 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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