NPI 1992153282 · live from the CMS NPI Registry
Amanda Ball
Speech-Language Pathologist, in Coeur D Alene, ID. National Provider Identifier 1992153282, active.
NPI record
| NPI | 1992153282 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 917 W Canfield Ave, Coeur D Alene, ID 83815 |
| Practice phone | 208-762-3502 |
| Enumerated | May 27, 2016 |
| Last updated | May 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-4295 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.