Amanda M. Sherman, CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Grand Rapids, MI

NPI 1063928869 · NPPES record last updated Dec 17, 2017

Key facts

NPI
1063928869
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7101005481 (MI)
Practice address
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone
(616) 447-7799
NPI assigned
Dec 17, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7101005481MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Lynn Therapy PLC Speech-Language Pathologist Current Accepting new patients
Monarch Speech Therapy PLLC Speech-Language Pathologist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005481 MI Yes

Addresses

Primary practice location

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431

Mailing address

1440 Escott Ave NW
Grand Rapids, MI 49504-3014
Phone (248) 496-5158

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.