MEDICARE: MRS. AMY CAUSBY HALFORD MA, 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
1	235Z00000X	Speech-Language Pathologist	3182	NC

General Provider Information

NPI Number	:	1235379199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY CAUSBY HALFORD MA, CCC-SLP

Provider Business Mailing Address
First Line	:	131 W UNION ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3459
Country	:	US
Telephone Number	:	828-430-3558
Fax Number	:	828-430-3522

Provider Business Practice Location Address
First Line	:	131 W UNION ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3459
Country	:	US
Telephone Number	:	828-430-3558
Fax Number	:	828-430-3522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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