Amy Friesen, MA,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mesa, AZ
NPI 1629100623 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1629100623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10927 (AZ)
- Practice address
- 4554 E Inverness Ave Ste C3
Mesa, AZ 85206-4639 - Phone
- (480) 497-4756
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10927 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Early Intervention Services LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
4554 E Inverness Ave
Ste C3
Mesa, AZ 85206
Phone (480) 295-4925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10927 | AZ | Yes |
Addresses
Primary practice location
4554 E Inverness Ave Ste C3
Mesa, AZ 85206-4639
Mailing address
4554 E Inverness Ave Ste C3
Mesa, AZ 85206-4639
Phone (480) 295-4925
Other providers in Mesa, AZ
- Steven H Friedland
- Jenna Miriam Friedman
- Melanie Friedman
- Paul Friedman
- Campbell Friend
- Jacobo Frietz
- Courtney Frieze
- Daniel Stephen Frimer
- Mary Kathryn Fritsch
- Edward R Fritz
All providers in Mesa, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. 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.