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AMY SHANDY SPEECH-LANGUAGE PATHOLOGIST LLC NPI 1801401153


NPI Information

NPI: 1801401153
Provider Name: AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC

Doing Business As: THE SHANDY CLINIC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1301 FORTINO BLVD
PUEBLO, CO
ZIP 81008
Phone: (719) 597-0822
Get Directions

AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC is a speech language pathologist in Pueblo, CO. 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. AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC NPI is 1801401153. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Shandy Clinic.

The provider's business location address is:

1301 FORTINO BLVD
PUEBLO, CO
ZIP 81008-032
Phone: (719) 597-0822
Fax: (719) 599-4606

The provider's authorized official is Rebecca Newman .
The authorized official title is Billing Manager and has the following contact phone number (719) 597-0822.

The enumeration date for this NPI number is 9/14/2020 and was last updated on 9/15/2020.


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
1103K00000XBehavior AnalystNo
2103T00000XPsychologistNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistYes

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
112000256MEDICAIDCOLORADO

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

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