Amanda Williams
Individual provider Active NPI Speech-Language Pathologist · Gainesville, MO
NPI 1710276142 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1710276142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2011004664 (MO)
- Practice address
- 422 Bulldog Dr
Gainesville, MO 65655-7459 - Phone
- (417) 679-4200
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 2011004664 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshfield R-1 School District | Current |
Accepting new patients | |
| Marshfield R-1 School District | Past |
Accepting new patients |
Locations
170 State Highway DD
Marshfield, MO 65706
Phone (417) 859-2120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2011004664 | MO | Yes |
Addresses
Primary practice location
422 Bulldog Dr
Gainesville, MO 65655-7459
Mailing address
610 US Highway 160
Caulfield, MO 65626-9311
Phone (417) 274-7874
Other providers in Gainesville, MO
All providers in Gainesville, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 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.