Organization Active NPI

Az Speech Pathology

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1609781699
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.