Pearson, Amanda Davidson
Pearson, Amanda Davidson is an individual health care provider with primary practice located at 7600 Wolf River Blvd Suite 220, Germantown TN 38138-1785. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pearson, Amanda Davidson can be contacted via phone (901) 755-5300.Contact Information
Primary practice address
7600 Wolf River Blvd Suite 220
Germantown TN 38138-1785
Phone: (901) 755-5300
Fax: (901) 753-9659
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AUD003924 | Georgia |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A1821 | Tennessee |
Profile Details
NPI number | 1730315367 |
---|---|
LBN Legal business name | Pearson, Amanda Davidson |
Credentials | AUD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2009 |
Last updated | Apr 6th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730315367 | NPPES |
North Carolina | MEDICAID | 7413650 | |
North Carolina | Other | 7512803 | |
North Carolina | Other | 170A1 | |
North Carolina | Other | 9572652 | |
North Carolina | MEDICAID | SAN098 | |
North Carolina | Other | 30118105 |
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