Provider Demographics
NPI:1952520173
Name:ARAGUZ, AMANDA JO (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JO
Last Name:ARAGUZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 SUMMIT WAY CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2954
Mailing Address - Country:US
Mailing Address - Phone:281-543-2591
Mailing Address - Fax:281-348-2456
Practice Address - Street 1:7840 FM 1960 RD E
Practice Address - Street 2:STE. 401
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2259
Practice Address - Country:US
Practice Address - Phone:281-548-2458
Practice Address - Fax:281-348-2456
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102413235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist