Amanda Defrance Dell'Aira, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ennis, TX
NPI 1619697802 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1619697802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 118793 (TX)
- Practice address
- 303 W Knox St
Ennis, TX 75119-3966 - Phone
- (972) 872-7000
- NPI assigned
- Aug 30, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118793 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118793 | TX | Yes |
Addresses
Primary practice location
303 W Knox St
Ennis, TX 75119-3966
Mailing address
505 College
Italy, TX 76651-3935
Phone (432) 413-6880
Other providers in Ennis, TX
- Cheryl Lashun Davis-Harrison
- Deanna L. Davis
- Lauren Elizabeth Davis
- William C. Davis
- Barry Herron Davison
- DFW Oral and Maxillofacial Surgery Ennis, LLC
- Jessie Kaye Koyle Dodwell
- Amy Leigh Dojahn
- Chandler Dominguez
- Leslie Elaine Donet
All providers in Ennis, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. 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.