Amanda Lynn McGraw, MS CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Carbondale, PA
NPI 1871902809 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1871902809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL011415 (PA)
- Practice address
- 82 N Main St
Suite 1
Carbondale, PA 18407-1914 - Phone
- (570) 282-0200
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL011415 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL011415 | PA | Yes |
Addresses
Primary practice location
82 N Main St
Suite 1
Carbondale, PA 18407-1914
Mailing address
655 Northern Blvd
South Abington Township, PA 18411-8740
Phone (570) 842-9323
Other names
- Amanda Lynn White
Other providers in Carbondale, PA
- Maxis Medical Services
- Maxis Medical Services
- Maxis Medical Services
- Brian Keith McCormick
- Kristen McGee
- Janelle McHale
- Martina McHale
- Merakey Pennsylvania
- Merakey Pennsylvania
- Merakey Pennsylvania
All providers in Carbondale, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2017. 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.