IndividualActive
Amanda Boudreaux, AUD
NPI 1013281765 · Audiologist · Twentynine Palms, CA
Provider details
- NPI number
- 1013281765
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- 2201001485 (VA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone: (760) 830-2850
Approximate (ZIP-level) locationGet directions
Mailing address
1145 Sturgis Road
Twentynine Palms, CA 92278
Registry dates
- Enumerated
- 2012-02-28
- Last updated
- 2018-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.