Amy Marie Goldsmith, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Prospect, KY
NPI 1194473322 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1194473322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 12907 Deer Cross Dr
Prospect, KY 40059-8117 - Phone
- (720) 480-4799
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246535 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 246535 | KY | |
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
12907 Deer Cross Dr
Prospect, KY 40059-8117
Mailing address
12907 Deer Cross Dr
Prospect, KY 40059-8117
Phone (720) 480-4799
Other providers in Prospect, KY
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- Joyce P Glackin-Mann
- Sher Laree Glaser
- Matthew Gregory Gleis
- Laura Goodan-Graham
- Greater Louisville Internal Medicine PSC
- Whitney L Greene
- Christina Pecha Greenhalgh
- Bharti Gupta
All providers in Prospect, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. 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.