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NPI Code Detail

MEDICARE: MRS. AMANDA ROSS CONRAD SLP

MEDICARE: MRS. AMANDA ROSS CONRAD SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP 2958OH

General Provider Information

NPI Number : 1518173475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA ROSS CONRAD SLP
Provider Business Mailing Address
First Line : 7933 SCHOOL HOUSE LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5928
Country : US
Telephone Number : 513-793-2005
Fax Number :
Provider Business Practice Location Address
First Line : 7826 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-7619
Country : US
Telephone Number : 513-984-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. AMANDA ROSS CONRAD SLP” Practice Location

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