NPI 1508069337 · live from the CMS NPI Registry
Amanda Coffman Brill, M.S. CCC SLP
Speech-Language Pathologist, in Winchester, VA. National Provider Identifier 1508069337, active.
NPI record
| NPI | 1508069337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1840 Amherst St, Winchester, VA 22604 |
| Practice phone | 540-536-1126 |
| Mailing address | Po Box 471, Wardensville, WV 26851 |
| Enumerated | June 8, 2007 |
| Last updated | October 29, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2202005059 (VA) |
| Speech-Language Pathologist, | 235Z00000X | SLP-1095 (WV) |
| Speech-Language Pathologist, | 235Z00000X | 12100992 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.