Amanda Foutch, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005581 Issued in MI

Practice address

4482 Ford Ave
Linden, MI 48451-9189

Phone

(954) 540-4808

Fax

(888) 232-1831

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1720171689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 FORD AVE",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519189",
            "telephone_number": "954-540-4808",
            "fax_number": "888-232-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 FORD AVE",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519189",
            "telephone_number": "954-540-4808",
            "fax_number": "888-232-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11800 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330717893",
            "country_code": "US",
            "telephone_number": "954-540-4808",
            "fax_number": "888-232-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6775",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lynn Eastman, LMSW
• William Edgar, MD
• Hannah Elliott, LCSW
• Charlotte Teresa Ferrington, PTA
• William Cleland Forbes, D.D.S.
• Kaylee Michelle Freeman, RN, IBCLC
• Deanna M Frick, PT
• Matthew Norman Fulton, D.D.S.
• Danielle Breann Germaine, LPC
• Go Mobile Physical Therapy & Wellness

• Speech-Language Pathologist in Linden, MI
• Providers in Linden, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.