MEDICARE: AMG SPEECH THERAPY LLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1194536490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMG SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	9217 BRAYDEN BAY ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9217 BRAYDEN BAY ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9311
Country	:	US
Telephone Number	:	650-564-4352
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AUDREY LYNN GILLMAN
Credential	:	MS, CCC-SLP
Telephone Number	:	650-564-4352

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

Similar Medicare Providers

1548735210 — MRS. AUDREY LYNN MANALANG GILLMAN M.S., CCC-SLP
Practice Location Address:

9217 BRAYDEN BAY ST
LAS VEGAS, NV
89178-9311

Practice Phone: 650-564-4352
Practice Fax:

1376267211 — APPLIED BEHAVIOR AND COMMUNICATION SERVICES
Practice Location Address:

9217 BRAYDEN BAY ST
LAS VEGAS, NV
89178-9311

Practice Phone: 702-518-9338
Practice Fax:

1639936719 — JASMINE SIMS
Practice Location Address:

9217 BRAYDEN BAY ST
LAS VEGAS, NV
89178-9311

Practice Phone: 916-764-7596
Practice Fax:

1437991833 — WOODLAND SAGE HOME CARE LLC
Practice Location Address:

9311 TONKAWA AVE
LAS VEGAS, NV
89178-5509

Practice Phone: 216-926-0410
Practice Fax:

1760226948 — BREANNA ROSELIND MEYERS RBT
Practice Location Address:

9217 BRAYDEN BAY ST
LAS VEGAS, NV
89178-9311

Practice Phone: 702-930-4715
Practice Fax:

1952088049 — DR. VANESSA PAN OD
Practice Location Address:

4045 SPENCER ST STE A59
LAS VEGAS, NV
89119-9311

Practice Phone: 702-437-5521
Practice Fax:

Directions to “AMG SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.