Most Relevant Information
Provider Data
| NPI Number: | 1003397050 |
| Provider Name: | AMANDA MCENTYRE M.ED. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 113178 |
Most Important Dates
| Enumeration Date: | 08/28/2018 |
| Last Updated: | 08/28/2018 |
Provider Practice Location
10700 ROLATER RD
FRISCO
TX
750352972
Practice Location Phone/Fax
| Phone: | 9727128652 |
| Fax: |
Provider Mailing Location
600 N PEARL ST STE 1050
DALLAS
TX
752017495
Provider Mailing Phone/Fax
| Phone: | 2142527681 |
| Fax: |