Amanda M Sicking, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.009936 Issued in IL

Practice address

18 N Catherine Ave
La Grange, IL 60525-5930

Phone

(708) 482-9453

Fax

(708) 482-9454

NPI assigned

May 7, 2008

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Amanda M Betz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1083880231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N CATHERINE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255930",
            "telephone_number": "708-482-9453",
            "fax_number": "708-482-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N CATHERINE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255930",
            "telephone_number": "708-482-9453",
            "fax_number": "708-482-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKING",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46001817A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BETZ",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aneri Nitish Shah, DO
• Raju Kirtikumar Shah, MD
• Reema Shah, MD
• Hooman Shams, DO
• Elham Yahya Sharaf -Eldeen, DMD
• Julia Gabrielle Chanco Sim, OTD
• Dennis John Simon, PH.D.
• Miranda Simon
• Jennifer Sims
• Bradley Skendzel, ATC

• Speech-Language Pathologist in La Grange, IL
• Providers in La Grange, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.