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NPI Code Detail

MEDICARE: AMANDA PRIEST

MEDICARE: AMANDA PRIEST
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 Pathologist5637LA

General Provider Information

NPI Number : 1821877580
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PRIEST
Provider Business Mailing Address
First Line : PO BOX 2158
Second Line :
City : LAFAYETTE
State : LA
Zip : 70502-2158
Country : US
Telephone Number : 337-521-7000
Fax Number :
Provider Business Practice Location Address
First Line : 202 RUE IBERVILLE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3295
Country : US
Telephone Number : 337-521-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2023
Last Update Date : 09/22/2023

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Directions to “ AMANDA PRIEST ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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