Amy Sponenberg-Green, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009677 Issued in PA

Practice address

410 E Allens LN
Philadelphia, PA 19119-1103

Phone

(267) 243-5614

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

Yes

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 Science

State licenses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1184937641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191103",
            "telephone_number": "267-243-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191103",
            "telephone_number": "267-243-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONENBERG-GREEN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SPN Construction Corporation
• Maya Spodik, MD
• Nichole Beth Spohn, M.A., CCC-SLP
• Shelby Tisharose Spohn
• David Michael Spolansky, OD
• Julie Ziev Sponsler, MFT
• Elizabeth Hoffman Sporer
• Nicholas A Spornick, MD
• Catherine Anne Sport
• Kyllington Leigh Spotts, PA-C

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.