Amanda Rae Stanek, MS CCC-SLP
Individual provider Active NPI Speech/Language/Hearing Specialist/Technologist · Roberts, WI
NPI 1962695080 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1962695080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech/Language/Hearing Specialist/Technologist 235500000X
- License
- 3037-154 (WI)
- Practice address
- 204 W Warren St
Roberts, WI 54023-9617 - Phone
- (715) 749-3890
- Fax
- (715) 749-4081
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3037-154 | WI | MD | Speech-Language Pathologist |
| 683620 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nan Reinhardt, Otr/L & Assoc, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 683620 | WI | |
| Speech-Language Pathologist | 235Z00000X | 3037-154 | WI | |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 3037-154 | WI | Yes |
Addresses
Primary practice location
204 W Warren St
Roberts, WI 54023-9617
Mailing address
204 W Warren St
Roberts, WI 54023-9617
Phone (715) 749-3890
Other providers in Roberts, WI
- Sandcastle Recovery LLC
- Marrie J Simpson
- Jessica Sperstad
- St Croix Valley Dental PLLC
- St. Croix Central School District
- Helen Clara Swanson
- Chao Xiong
- Amber D Zimmer
All providers in Roberts, WI · Speech/Language/Hearing Specialist/Technologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. 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.