MISS Amanda Tahereh Powell
NPI #1619463858 in San Marcos, California
Provider Information
- NPI Number
- 1619463858
- Entity Type
- Individual
- Name
- MISS Amanda Tahereh Powell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 10, 2018
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 910 W SAN MARCOS BLVD STE 108
- City
- San Marcos
- State
- California
- ZIP Code
- 92078-1116
- Phone
- (760) 510-6910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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