Amy Elizabeth Hodges

Individual provider Active NPI Speech-Language Pathologist · Aurora, MO

NPI 1508098336 · NPPES record last updated Aug 12, 2009

Key facts

NPI
1508098336
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2008022835 (MO)
Practice address
409 W Locust St
Aurora, MO 65605-1422
Phone
(417) 678-3373
Fax
(417) 678-3373
NPI assigned
Aug 12, 2009
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
2008022835MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2008022835 MO Yes

Addresses

Primary practice location

409 W Locust St
Aurora, MO 65605-1422

Mailing address

409 W Locust St
Aurora, MO 65605-1422
Phone (417) 678-3373

Other providers in Aurora, MO

All providers in Aurora, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.