Provider Demographics
NPI:1295463388
Name:PRINGLE, AMANDA M (CF-SLP)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:M
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 NW 4TH ST APT 3-210
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2263
Mailing Address - Country:US
Mailing Address - Phone:954-870-9115
Mailing Address - Fax:
Practice Address - Street 1:13701 NW 4TH ST APT 3-210
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2263
Practice Address - Country:US
Practice Address - Phone:954-870-9115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4245235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist