Amy R Murphy, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mitchell, IL
NPI 1508058652 · NPPES record last updated Aug 13, 2007
Key facts
- NPI
- 1508058652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.005121 (IL)
- Practice address
- 106 Troeckler LN
Mitchell, IL 62040-2838 - Phone
- (618) 931-5581
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.005121 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.005121 | IL | Yes |
Addresses
Primary practice location
106 Troeckler LN
Mitchell, IL 62040-2838
Mailing address
106 Troeckler LN
Mitchell, IL 62040-2838
Phone (618) 931-5581
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2007. 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.