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NPI Code Detail

MEDICARE: AMANDA LAMBERT MS,CCC-SLP

MEDICARE: AMANDA LAMBERT MS,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3133AL

General Provider Information

NPI Number : 1134511421
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LAMBERT MS,CCC-SLP
Provider Business Mailing Address
First Line : 2804 GREENHILL BLVD NW
Second Line : SUITE 102
City : FORT PAYNE
State : AL
Zip : 35968-3066
Country : US
Telephone Number : 256-979-1222
Fax Number : 256-979-1223
Provider Business Practice Location Address
First Line : 2804 GREENHILL BLVD NW
Second Line : SUITE 102
City : FORT PAYNE
State : AL
Zip : 35968-3066
Country : US
Telephone Number : 256-979-1222
Fax Number : 256-979-1223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ AMANDA LAMBERT MS,CCC-SLP” Practice Location

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