Mrs Amanda Newton Ketchersid, MS, CCC-SLP is a
Speech-language Pathologist based in Leola, Arkansas. Mrs Amanda Newton Ketchersid is licensed to practice in Arkansas (license number SP#1991) and her current practice location is
2997 Highway 222, Leola, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 626-9675.
NPI number for Mrs Amanda Newton Ketchersid is 1154576676 and her current mailing address is 2997 Highway 222, Leola, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154576676.
Healthcare Provider's Profile
Full Name | Mrs Amanda Newton Ketchersid |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2997 Highway 222, Leola, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154576676
- Provider Enumeration Date: 11/25/2008
- Last Update Date: 09/02/2015
Medical Identifiers
Medical identifiers for Mrs Amanda Newton Ketchersid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154576676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP#1991 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Newton Ketchersid is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Newton Ketchersid, MS, CCC-SLP 2997 Highway 222, Leola, AR 72084-8843 Ph: (501) 626-9675 | Mrs Amanda Newton Ketchersid, MS, CCC-SLP 2997 Highway 222, Leola, AR 72084-8843 Ph: (501) 626-9675 |
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