Amanda Paige White, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Red Bay, AL

NPI 1972774750 · NPPES record last updated Mar 19, 2008

Key facts

NPI
1972774750
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2392 (AL)
Practice address
106 10TH Ave NW
Red Bay, AL 35582-3800
Phone
(256) 356-4692
NPI assigned
Mar 19, 2008
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2392ALMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2392 AL Yes

Addresses

Primary practice location

106 10TH Ave NW
Red Bay, AL 35582-3800

Mailing address

106 10TH Ave NW
Red Bay, AL 35582-3800
Phone (256) 356-4692

Other providers in Red Bay, AL

All providers in Red Bay, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.