MRS. Amanda Mizelle, M.S.CCC-SLP

NPI #1124156435 in Raleigh, North Carolina

Provider Information

NPI Number
1124156435
Entity Type
Individual
Name
MRS. Amanda Mizelle, M.S.CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S.CCC-SLP
Enumeration Date
Feb 28, 2007
Last Updated
Jul 15, 2008

Practice Location

Address
4201 LAKE BOONE TRL
Address 2
SUITE 4
ZIP Code
27607-7512
Phone
(919) 781-4434

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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