Active NPI
Az Speech Pathology
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1609781699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- AZ SPEECH PATHOLOGY
- Practice address
- 1613 W Lynwood St
Phoenix, AZ 85007-1815 - Phone
- (630) 940-5459
- NPI assigned
- Aug 15, 2026
- Last updated
- Aug 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Herrmann, M.S CCC-SLP
- Title
- Owner/ Speech Language Pathologist
- Phone
- (630) 940-5459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1613 W Lynwood St
Phoenix, AZ 85007-1815
Mailing address
1613 W Lynwood St
Phoenix, AZ 85007-1815
Phone (630) 940-5459
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786752000000",
"number": "1609781699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 W LYNWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071815",
"telephone_number": "630-940-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 W LYNWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071815",
"telephone_number": "630-940-5459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ SPEECH PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-15",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A",
"authorized_official_last_name": "HERRMANN",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER/ SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "630-940-5459",
"authorized_official_credential": "M.S CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Az SLP, PLLC
- Az Sober Living & Behavioral Health Group, LLC
- Az Specialty Dental Services, LLC (Jungle Roots Children's Dentistry and Orthodontics)
- Az Specialty Dental Services, LLC (Rusty Jones Orthodontics)
- Az Speech & Psychological Institute (Azspi)
- Az Speech Therapy Solutions LLC
- Az Sports Clinic, LLC
- Az Sprout MC 1 LLC (Elemy)
- Az Superior Hospice Care, LLC
- Az Surgical Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.