Amanda Cormier
Individual provider Active NPI Speech-Language Pathologist · Beaumont, TX
NPI 1962800201 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1962800201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 106295 (TX)
- Practice address
- 1020 S 23Rd St
Beaumont, TX 77707-4202 - Phone
- (409) 842-9700
- NPI assigned
- Dec 19, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106295 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106295 | TX | Yes |
Addresses
Primary practice location
1020 S 23Rd St
Beaumont, TX 77707-4202
Mailing address
17985 Magnolia Dr
Beaumont, TX 77705-8553
Other providers in Beaumont, TX
- Robbi Cooper
- Vikki Lynn Cooper
- Christian Andrews Corbitt
- Jordan Corley
- Garrett Cormie
- Cesily Caldwell Cormier
- Paul Wayne Cormier
- Cornerstone Family Health Center PLLC
- Tiffany April Coronado
- Kevin Mark Correia
All providers in Beaumont, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. 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.