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Contact Information

AMANDA S POTTER, MS
204 WEST HOLLOWAY AVE
BISMARCK, IL61814
 Phone: 217-304-1595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AMANDA S POTTER · (Female)

NPI # 1528487626
Status Active
Credentials MS
Entity Individual
Enumeration date 04/16/2014
Last updated 04/16/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 146.007731
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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