Provider Demographics
NPI:1134303670
Name:ZRAICK, AMANDA GUNN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:GUNN
Last Name:ZRAICK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:1500 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-5843
Mailing Address - Country:US
Mailing Address - Phone:501-447-1587
Mailing Address - Fax:501-447-1401
Practice Address - Street 1:1500 S PARK ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5843
Practice Address - Country:US
Practice Address - Phone:501-447-1587
Practice Address - Fax:501-447-1401
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARSLP#1692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist