Provider Demographics
NPI:1912657776
Name:ARREDONDO, AMBER JERRINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:JERRINE
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8012 SHIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2413
Mailing Address - Country:US
Mailing Address - Phone:210-945-5348
Mailing Address - Fax:
Practice Address - Street 1:8012 SHIN OAK DR
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-2413
Practice Address - Country:US
Practice Address - Phone:210-945-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist