Amy Shandy, Speech-Language Pathologist, LLC
Organization Active NPI Occupational Therapist · Colorado Springs, CO
NPI 1265039838 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1265039838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
- Practice address
- 917 E Moreno Ave Ste 150
Colorado Springs, CO 80903-4547 - Phone
- (719) 597-0822
- Fax
- (719) 599-4606
- NPI assigned
- Oct 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Rebecca Newman
- Title
- Billing Manager
- Phone
- (719) 597-0822
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Amy Shandy Speech Language Pathology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Psychologist |
103T00000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
917 E Moreno Ave Ste 150
Colorado Springs, CO 80903-4547
Mailing address
685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381
Phone (719) 597-0822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12000256 | Medicaid | CO |
Other names
- The Shandy Clinic
Other providers in Colorado Springs, CO
- Meghan Amthor
- Raiana Grace De Guzman Amurao
- Amy S. Maroldo, M.D., LLC
- Amy Shandy Speech Language Pathologist
- Amy Shandy Speech Language Pathology
- Amy Shandy, Speech-Language Pathologist, LLC
- Amy Shandy, Speech-Language Pathologist, LLC
- Amy Shandy, Speech-Language Pathologist, LLC
- Amy Shandy, Speech-Language Pathologist, LLC
- Amy Shandy, Speech-Language Pathologist, LLC
All providers in Colorado Springs, CO · Occupational Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. 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.