Provider Demographics
NPI:1841553351
Name:DOLLARHITE, AMANDA HEATHER
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:HEATHER
Last Name:DOLLARHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:HEATHER
Other - Last Name:GODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4145 24TH AVE SE
Mailing Address - Street 2:APARTMENT 7
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2971
Mailing Address - Country:US
Mailing Address - Phone:405-255-2324
Mailing Address - Fax:
Practice Address - Street 1:4145 24TH AVE SE
Practice Address - Street 2:APARTMENT 7
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-2971
Practice Address - Country:US
Practice Address - Phone:405-255-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist