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Amy Shandy, Speech-Language Pathologist, LLC

Organization Active NPI Speech-Language Pathologist · Colorado SPGS, CO

NPI 1093320665 · NPPES record last updated Sep 15, 2020

Key facts

NPI
1093320665
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Practice address
917 E Moreno Ave Ste 100
Colorado SPGS, CO 80903-4547
Phone
(719) 597-0822
Fax
(719) 599-4606
NPI assigned
Sep 10, 2020
Organization subpart
No

Authorized official

Name
Rebecca Newman
Title
Billing Manager
Phone
(719) 597-0822

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

National Provider Directory

Tax ID family
Amy Shandy Speech Language Pathology (33 organizations share this tax ID)

Locations

917 E Moreno Ave
Ste 100
Colorado Spgs, CO 80903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 103K00000X
Psychologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 103T00000X
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 235Z00000X Yes

Addresses

Primary practice location

917 E Moreno Ave Ste 100
Colorado SPGS, CO 80903-4547

Mailing address

685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone (719) 597-0822

Other identifiers

IdentifierTypeStateIssuer
12000256MedicaidCO

Other names

  • THE SHANDY CLINIC Doing business as

Other providers in Colorado SPGS, CO

All providers in Colorado SPGS, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.