Amanda Hall
Individual provider Active NPI Speech-Language Pathologist · Greenbrier, AR
NPI 1043986508 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1043986508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 201578 (AR)
- Practice address
- 12 Sharon Cir
Greenbrier, AR 72058-9621 - Phone
- (501) 314-9806
- NPI assigned
- Aug 16, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 201578 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 201578 | AR | Yes |
Addresses
Primary practice location
12 Sharon Cir
Greenbrier, AR 72058-9621
Mailing address
PO Box 632
Greenbrier, AR 72058-0632
Other providers in Greenbrier, AR
- Greenbrier School District
- Greenbrier Therapy
- Bailey Griffin
- Hadleigh Griffin
- Brittany D Hale
- Joshua Lee Hambuchen
- Riley Beth Harlan
- Jennifer Harmon
- Scott Harmon
- Harps Food Stores Inc
All providers in Greenbrier, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. 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.