Amanda Ellen Burch, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2658 Issued in ME

Practice address

284 Main St
Gorham, ME 04038-1312

Phone

(207) 222-1250

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Ellen Judson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Integrated Children'S Therapies, Inc.

  • Speech-Language Pathologist
  • Hudson, MA
  • NPI 1245472554
  NPD (past)
• Integrated Childrens Therapies

  • Multi-Specialty Clinic/Center
  • Hudson, MA
  • NPI 1518127331
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1831578269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LITTLE RIVER DR",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382554",
            "telephone_number": "860-575-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381312",
            "telephone_number": "207-222-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JUDSON",
            "middle_name": "ELLEN",
            "credential": "M.S. CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Brown
• Katherine Brown
• Matt Webster Brown
• Melanie Sosinski Brown
• Michel G Brunet, P.T.
• Sean P Carey, DO
• Aimee Joy Cartier, MS
• Thomas Philip Caswell
• Tyler Chamberlin, DPT
• Chelsea Feeney, LCSW

• Speech-Language Pathologist in Gorham, ME
• Providers in Gorham, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.