| Amy Shandy, Speech-language Pathologist, Llc | |
|
901 N Santa Fe Ave Fountain CO 80817-1738 | |
| (719) 597-0822 | |
| (715) 599-4606 |
| Full Name | Amy Shandy, Speech-language Pathologist, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 901 N Santa Fe Ave, Fountain, Colorado |
| Authorized Official Name and Position | Rebecca Newman (BILLING MANAGER) |
| Authorized Official Contact | 7195970822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Shandy, Speech-language Pathologist, Llc 3625 Citadel Dr S Colorado Springs CO 80909-5320 Ph: (719) 597-0822 | Amy Shandy, Speech-language Pathologist, Llc 901 N Santa Fe Ave Fountain CO 80817-1738 Ph: (719) 597-0822 |
| NPI Number | 1275162562 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275162562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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