Joy C Amason

Individual provider Active NPI Speech-Language Pathologist · Malvern, AR

NPI 1174881445 · NPPES record last updated Apr 24, 2012

Key facts

NPI
1174881445
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP#1324 (AR)
Practice address
1625 S Main St
Malvern, AR 72104-5600
Phone
(501) 337-7622
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
SP#1324ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1324 AR Yes

Addresses

Primary practice location

1625 S Main St
Malvern, AR 72104-5600

Mailing address

218 River Ridge Rd
Benton, AR 72019-7554
Phone (501) 794-1169

Other providers in Malvern, AR

All providers in Malvern, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.