Amanda Newberry, SLP | |
1921 Stonecipher Dr, Ada, OK 74820 | |
(580) 436-3980 | |
Not Available |
Full Name | Amanda Newberry |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1921 Stonecipher Dr, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558615567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3519 (Oklahoma) | Primary |
Provider Name | Chickasaw Nation Division Of Health Chickasaw Nation Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364 |
Mailing Address | Practice Location Address |
---|---|
Amanda Newberry, SLP 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980 | Amanda Newberry, SLP 1921 Stonecipher Dr, Ada, OK 74820 Ph: (580) 436-3980 |
Tracy Michele Jimenez, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-421-1303 | |
Mia M Holcomb, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 Woodland Dr, Ada, OK 74820 Phone: 580-320-8599 | |
Shelly L. Williams, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18175 County Road 3560, Ada, OK 74820 Phone: 580-272-3580 |