Amanda Lynn Paul, MS, CCC, SLP

Individual provider Active NPI Speech-Language Pathologist · Chickasha, OK

NPI 1639359573 · NPPES record last updated Nov 8, 2007

Key facts

NPI
1639359573
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3307 (OK)
Practice address
1111 S 7TH St
Chickasha, OK 73018-4407
Phone
(405) 812-2129
Fax
(405) 224-0133
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 Science

State licenses

LicenseStateTypeSpecialty
3307OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies United Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3307 OK Yes

Addresses

Primary practice location

1111 S 7TH St
Chickasha, OK 73018-4407

Mailing address

1111 S 7TH St
Chickasha, OK 73018-4407
Phone (405) 812-2129

Other providers in Chickasha, OK

All providers in Chickasha, OK · Speech-Language Pathologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.