Gary Amlong
Individual provider Active NPI Speech/Language/Hearing Specialist/Technologist · O Fallon, MO
NPI 1316508997 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1316508997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech/Language/Hearing Specialist/Technologist 235500000X
- Practice address
- 2820 Dardenne Links Dr
O Fallon, MO 63368-9741 - Phone
- (636) 357-2951
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Monitoring, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | Yes |
Addresses
Primary practice location
2820 Dardenne Links Dr
O Fallon, MO 63368-9741
Mailing address
PO Box 2153
Dept 8116
Birmingham, AL 35287-8116
Phone (636) 675-5471
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spectrum-monitoring@outlook.com |
Other providers in O Fallon, MO
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- Jeffrey Lee Allen
- Gregory Scott Alles
- Bradley L. Allison
- Nicole Alena Althage
- Amy Lentini Ma LPC
- Alexandria Michelle Anderson
- Ashley Anderson
- Jana Anderson
- Jordan Anderson
All providers in O Fallon, MO · Speech/Language/Hearing Specialist/Technologist 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 27, 2021. 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.