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

LicenseStateTypeSpecialty
106349TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2011.

{
    "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

All providers in San Juan, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.