Amber Bordoley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101006589 Issued in MI

Practice address

29823 Fernhill Dr
Farmington Hills, MI 48334-2029

Phone

(248) 987-8464

NPI assigned

Aug 5, 2020

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

• Amber Aschwanden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1881204733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 NORTHWESTERN HWY STE 321",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29823 FERNHILL DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342029",
            "telephone_number": "248-987-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOLEY",
        "first_name": "AMBER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ASCHWANDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Borden
• Joy Borders
• Latasha Borders
• Kaylee Bordner
• Kendra Bordner
• Trisha Boreliz
• Whitney Borelli
• Halle Boren
• Kristianna Boren, OT
• Jordan Borene

• Speech-Language Pathologist in Farmington Hills, MI
• Providers in Farmington Hills, 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 Sep 9, 2020; 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.