Amanda Danielle Long, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008055 Issued in GA

Practice address

1094 Eisenhower Dr Ste a
Savannah, GA 31406-2602

Phone

(912) 335-1650

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Small Steps Pediatric Speech Therapy,LLC

  • Speech-Language Pathologist
  • Rincon, GA
  • NPI 1184018731
  NPD Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1144667718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GABLES DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229693",
            "telephone_number": "912-667-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 EISENHOWER DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062602",
            "telephone_number": "912-335-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Logan, M.D.
• Christine Shealy Lokey, FNP-C
• Jennifer Lomax, FNP-BC
• Jeremy E London, MD
• Allison Crawford Long, MSN, APRN, FNP-C
• Angela Marie Long, N.P.
• Cameron Long
• James A Long, MD
• Joseph Blake Long, MD
• Kelly Long, LPC

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.