Amanda Carter McVean, SLP
Individual provider Active NPI Speech-Language Pathologist · San Juan, TX
NPI 1487937900 · NPPES record last updated Sep 21, 2011
Key facts
- NPI
- 1487937900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 106349 (TX)
- Practice address
- 1201 N Raul Longoria Rd
Suite P
San Juan, TX 78589-3727 - Phone
- (210) 520-1723
- Fax
- (210) 520-1724
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106349 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106349 | TX | Yes |
Addresses
Primary practice location
1201 N Raul Longoria Rd
Suite P
San Juan, TX 78589-3727
Mailing address
PO Box 681271
San Antonio, TX 78268-1271
Phone (210) 520-1723
NPI Registry JSON
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1487937900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681271",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782681271",
"telephone_number": "210-520-1723",
"fax_number": "210-520-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N RAUL LONGORIA RD",
"address_2": "SUITE P",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893727",
"telephone_number": "210-520-1723",
"fax_number": "210-520-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVEAN",
"first_name": "AMANDA",
"middle_name": "CARTER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, TX
- Marylou
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- Nelson A Mata
- MCMJ Medical Management Services Inc
- Med-Tro Equipment and Medical Supplies, LLC
- Carlos Arnaldo Medina
- Ricardo Medina Jr.
- Mejor Vida Adult Day Care, LLC
- Melissa Rivera DDS PA
All providers in San Juan, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2011. 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.