Amanda Bean, SLP

Key facts

NPI

1003089475

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

018076 (NY)

Practice address

1300 Post Rd Ste 204
Fairfield, CT 06824-6038

Phone

(203) 255-3669

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2014.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1003089475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 POST RD STE 204",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD STE 204",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-255-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

• Cynthia Alisa Bautista, PHD, APRN
• Andrew Raymond Baxter
• Carol Baxter, M.S.W.
• Figen Ayse Baydur, DMD
• Joel J Beaman, DDS
• Paula Beaudette, SLP
• Gianfranco Beaumont, MA, MFT 3314
• Mary Kisseberth Bedson, R.P.T.
• Woodlyne Belizaire
• Barton Belkin, M.D.

All providers in Fairfield, CT · Speech-Language Pathologist in Connecticut