Amanda Mychale Coco
Individual provider Active NPI Speech-Language Pathologist · Pea Ridge, AR
NPI 1386891307 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1386891307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 781 W Pickens Rd
Pea Ridge, AR 72751-2519 - Phone
- (479) 451-8181
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| Pea Ridge School District | Past | Accepting new patients | |
| Gentry Public School | Past | Accepting new patients | |
| Gentry School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
781 W Pickens Rd
Pea Ridge, AR 72751-2519
Mailing address
201 S Giles Ave
Gentry, AR 72734-9320
Phone (479) 736-2253
Other providers in Pea Ridge, AR
- Jenny Caraway
- Rachel Carlton
- April Lynn Carr
- Chris R. Combs Family Dentistry
- City of Pea Ridge
- Michael Lee David
- Hope Dunseath
- Shakira Michelle Eakins
- Cyrece Dawn Engelberger
- Mallory Flores
All providers in Pea Ridge, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. 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.