| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA MARIE PARKER | 1063466092 | 2024-11-08 |
Amanda Marie Parker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063466092. Registration indicates Amanda Marie Parker is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Audiologist (Audiologist, ) (Vision/Audiology, ) (Audiologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Amanda Marie Parker AU.D. |
| Other Provider Name | Amanda Weaver |
| Practice Office Address | 5408 SANDERLING RIDGE DR LITHIA, FL US |
| Practice Office Telephone | 8133264804 |
| Mailing Address | 5408 SANDERLING RIDGE DR LITHIA, FL 335473996 US |
| Business Telephone | 8133264804 |
| Code | Practice | License No State |
|---|---|---|
| 231H00000X PRIMARY | Speech, Language and Hearing Service Providers Audiologist Audiologist Vision/Audiology Audiologist Speech, Language and Hearing Service Providers | AY1311
FL |