Active NPI
Amy Gray, M.S.
- Speech-Language Pathologist
- Lafayette Hill, PA
National Provider Identifier
1306193784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL002189L
- Practice address
- 461 Box Elder LN
Lafayette Hill, PA 19444-2618 - Phone
- (856) 524-2347
- NPI assigned
- Aug 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL002189L | PA | Primary |
Addresses
Primary practice location
461 Box Elder LN
Lafayette Hill, PA 19444-2618
Mailing address
461 Box Elder LN
Lafayette Hill, PA 19444-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL002189L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344124800000",
"number": "1306193784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 BOX ELDER LN",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194442618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 BOX ELDER LN",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194442618",
"telephone_number": "856-524-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-05",
"last_updated": "2012-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002189L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.