Amy Shandy, Speech-Language Pathologist, LLC
Organization Active NPI Psychologist · Aurora, CO
NPI 1033724364 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1033724364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
- Practice address
- 3131 S Vaughn Way Ste 110
Aurora, CO 80014-3501 - Phone
- (719) 597-0822
- Fax
- (719) 599-4606
- NPI assigned
- Sep 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Rebecca Newman
- Title
- Billing Manager
- Phone
- (719) 597-0822
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Amy Shandy Speech Language Pathology
Locations
3131 S Vaughn Way
Ste 110
Aurora, CO 80014
Phone (303) 368-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Clinical Psychologist |
103TC0700X |
Addresses
Primary practice location
3131 S Vaughn Way Ste 110
Aurora, CO 80014-3501
Mailing address
685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone (719) 597-0822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12000256 | Medicaid | CO |
Other names
- THE SHANDY CLINIC
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.