MRS. Amanda Therese Hettenhausen, M.A.R., CCC-SLP/L
NPI #1629335468 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1629335468
- Entity Type
- Individual
- Name
- MRS. Amanda Therese Hettenhausen, M.A.R., CCC-SLP/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A.R., CCC-SLP/L
- Enumeration Date
- Apr 18, 2012
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- 826 SAYBROOK FALLS DR
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2169
- Phone
- (314) 915-6604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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