Michelle Amendola, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Madison, WI
NPI 1982133112 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1982133112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA16734 (FL)
- Practice address
- 128 E Olin Ave
Madison, WI 53713-1467 - Phone
- (608) 252-1320
- NPI assigned
- Jun 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA16734 | FL | MD | Speech-Language Pathologist |
| SZ8068 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Amendola SLP, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Family Service Madison Inc | Current |
Accepting new patients | |
| Hhu Xtra Care Inc | Past |
Accepting new patients |
Locations
128 E Olin Ave
Madison, WI 53713
Phone (608) 252-1320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ8068 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA16734 | FL | Yes |
Addresses
Primary practice location
128 E Olin Ave
Madison, WI 53713-1467
Mailing address
2225 Atwood Ave Apt 202
Madison, WI 53704-5662
Phone (630) 709-5723
Other names
- Michelle Johnson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michellea@fsmad.org |
Other providers in Madison, WI
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- Christoffer Alton Dimla Amdahl
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- Amedisys Wisconsin LLC
- Christina Amend
- America'S Best Contacts & Eyeglasses
- American Community Medical Center Inc.
- American Current Care P.a .
- American Current Care P.a.
- American Current Care PA
All providers in Madison, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. 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.