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Contact Information

AMANDA BERG
308 NE 2ND ST
WAGONER, OK74441
 Phone: 918-485-4046
 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 BERG · (Female)

NPI # 1912447608
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2017
Last updated 03/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
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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