Amy Mammadov, MS, CCC-SLP
NPI #1568944569 in Bloomington, Illinois
Provider Information
- NPI Number
- 1568944569
- Entity Type
- Individual
- Name
- Amy Mammadov, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Sep 5, 2018
- Last Updated
- Dec 14, 2018
Practice Location
- Address
- 7 CALLAHAN CT
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61705-1701
- Phone
- (309) 808-9806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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