Amanda Michelle Wong, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101001622 Issued in MI

Practice address

7330 Biscayne Way SE
Grand Rapids, MI 49546-9705

Phone

(616) 915-5614

NPI assigned

Jul 28, 2007

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1821288515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 BISCAYNE WAY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469705",
            "telephone_number": "616-915-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 BISCAYNE WAY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469705",
            "telephone_number": "616-915-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.000562",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Woltjer, PH.D.
• Womens Health Collective
• Kaley J Wondergem, LMSW
• Jacqueline A Wondolowski, LMSW
• Tina W Wong-Gillam, M.D.-PH.D.
• Brandon Joseph Wong, MD
• Frances Ying-Nok Wong, MD
• Leslie B Wong, MD
• Ryan Joshua Wong, MD
• Tanya Wonnacott, DNP, RN, AGNP-C

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, 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 Mar 28, 2017; 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.