Amy Perdue Roberts, M. S., CCC, SLP

Individual provider Active NPI Speech-Language Pathologist · Troy, TX

NPI 1720704505 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1720704505
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
15352 (TX)
Practice address
725 W Main St
Troy, TX 76579-2789
Phone
(254) 938-0304
NPI assigned
Oct 13, 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15352TXMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 15352 TX Yes

Addresses

Primary practice location

725 W Main St
Troy, TX 76579-2789

Mailing address

725 W Main St
Troy, TX 76579-2789
Phone (254) 938-0304

Other providers in Troy, TX

All providers in Troy, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.