Amanda Patten
Individual provider Active NPI Speech-Language Pathologist · Coal City, IL
NPI 1144745100 · NPPES record last updated Aug 10, 2017
Key facts
- NPI
- 1144745100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 300 N Broadway St
Coal City, IL 60416-1043 - Phone
- (815) 634-2334
- Fax
- (815) 954-6904
- NPI assigned
- Aug 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
300 N Broadway St
Coal City, IL 60416-1043
Mailing address
990 N 7TH St
Carbon Hill, IL 60416-7008
Phone (815) 954-6904
Other providers in Coal City, IL
- Jena C Nowicki
- Angela Opyd
- Amanda Orlick
- Natalie A Palka
- Andrea Paradesi
- Carollyn Pierard
- Pullara Family Dental Center
- Stephanie Ann Putman
- Pamela Raber
- Margaret Ragain
All providers in Coal City, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.