Amanda Kay Carlson, M.A., C.C.C.

Individual provider Active NPI Speech-Language Pathologist · Brunswick, OH

NPI 1992913305 · NPPES record last updated Jul 7, 2008

Key facts

NPI
1992913305
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP-7716 (OH)
Practice address
839 Pearl Rd
Brunswick, OH 44212-2559
Phone
(330) 225-4182
Fax
(330) 225-4879
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
SP-7716OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilikids. LLC Speech-Language Pathologist Past
since Sep 26, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15571 CA
Speech-Language Pathologist 235Z00000X SP-7716 OH Yes

Addresses

Primary practice location

839 Pearl Rd
Brunswick, OH 44212-2559

Mailing address

839 Pearl Rd
Brunswick, OH 44212-2559
Phone (330) 225-4182

Other names

  • Miss Amanda Kay Erchenbrecher Former name

Other providers in Brunswick, OH

All providers in Brunswick, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.