Mrs. Amanda Pericles MS, CCC-SLP
Speech-Language Pathologist in Charlotte, NC(View on Map)
Full Name
Mrs. Amanda Pericles MS, CCC-SLP
NPI Number
1386023554
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/21/2015
Specialties
(Taxonomies)Code
235Z00000X
222Q00000X
2355S0801X
Primary Taxonomy
Yes
No
No
Licenses
State
Massachusetts
License Number
SP1126-SA
Contact
Information
Purpose
Mailing
Location
Address
8848 RED OAK BLVD STE AA
8848 RED OAK BLVD STE AA
City
Charlotte
Charlotte
State
NC
NC
Postal Code
28217-5595
28217-5595
Country
US
US
Telephone Number
N/A
(980) 422-5887
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/14/2022
Provider Address
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