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MRS. AMANDA MIZELLE M.S.CCC-SLP NPI 1124156435


NPI Information

NPI: 1124156435
Provider Name: MRS. AMANDA MIZELLE, M.S.CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
4201 LAKE BOONE TRL
SUITE 4
RALEIGH, NC
ZIP 27607
Phone: (919) 781-4434
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MRS. Amanda Mizelle, M.S.CCC-SLP is a speech language pathologist in Raleigh, NC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Amanda Mizelle, M.S.CCC-SLP NPI is 1124156435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4201 LAKE BOONE TRL
SUITE 4
RALEIGH, NC
ZIP 27607-512
Phone: (919) 781-4434
Fax: (919) 781-5851

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist2980NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17212036MEDICAIDNORTH CAROLINA
27412516MEDICAIDNORTH CAROLINA
3018CVOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.