Amy Lynn Blevins, MS,SLP
Individual provider Active NPI Speech-Language Pathologist · Troy, MO
NPI 1194241828 · NPPES record last updated Aug 15, 2017
Key facts
- NPI
- 1194241828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 268403 (MO)
- Practice address
- 951 W College St
Troy, MO 63379-1112 - Phone
- (636) 462-6098
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268403 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Reorganzied | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 268403 | MO | Yes |
Addresses
Primary practice location
951 W College St
Troy, MO 63379-1112
Mailing address
951 W College St
Troy, MO 63379-1112
Other providers in Troy, MO
- Martha Lee Beilsmith
- Mary Elizabeth Berk
- Nicole Bernat
- Bio-Medical Applications of Missouri, Inc.
- Marie Bira
- Kelsey Blyudzhyus
- Betty Ann Bockhorst
- Charlene Bockhorst
- James Lee Bockhorst
- Kelsey Bockman
All providers in Troy, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 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.