IndividualActive
Amanda Dock, CCC-SLP
NPI 1184388928 · Speech-Language Pathologist · Bryan, TX
Provider details
- NPI number
- 1184388928
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 108904 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1201 Ridgedale St
Bryan, TX 77803-3722
Phone: (979) 716-7573
Approximate (ZIP-level) locationGet directions
Mailing address
2709 Carter Creek Pkwy
Bryan, TX 77802-2422
Registry dates
- Enumerated
- 2021-10-27
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.