Amy M Donley, SLP

Individual provider Active NPI Speech-Language Pathologist · Alma, NE

NPI 1104883545 · NPPES record last updated Sep 12, 2012

Key facts

NPI
1104883545
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1147 (NE)
Practice address
515 Jewell St
Alma, NE 68920-2067
Phone
(308) 928-2131
Fax
(308) 928-2763
NPI assigned
Apr 28, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
1147NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit No 11 Past
since Mar 27, 2022
Accepting new patients
Alma Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1147 NE Yes

Addresses

Primary practice location

515 Jewell St
Alma, NE 68920-2067

Mailing address

PO Box 858
Holdrege, NE 68949-0858
Phone (308) 995-6585

Other identifiers

IdentifierTypeStateIssuer
47065477700MedicaidNE

Other providers in Alma, NE

All providers in Alma, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.