Most Relevant Information
Provider Data
| NPI Number: | 1003535576 |
| Provider Name: | AMANDA MARIE PHILEN SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 112839 |
Most Important Dates
| Enumeration Date: | 08/26/2022 |
| Last Updated: | 08/26/2022 |
Provider Practice Location
2505 WALDRON RD
CORPUS CHRISTI
TX
784184798
Practice Location Phone/Fax
| Phone: | 3616949650 |
| Fax: |
Provider Mailing Location
2742 GOLD RUSH LN
CORPUS CHRISTI
TX
784102212
Provider Mailing Phone/Fax
| Phone: | 2103890885 |
| Fax: |