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Contact Information

AMANDA P GOMEZ, MS-CCC-SLP
4530 NELSON BROGDON BLVD STE C
BUFORD, GA30518
 Phone: 678-820-9606
 Fax: 844-820-9616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AMANDA P GOMEZ · (Female)

NPI Number 1508068412
Status Active
Credentials MS-CCC-SLP
Entity Individual
Enumeration date 06/03/2007
Last updated 03/06/2019 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • GA License # SLP 006456
  • GA Medicaid 003134692A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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