MEDICARE: AMY P TEOH M.S.

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	22003787	IN
2	235Z00000X	Speech-Language Pathologist	7861	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881617181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY P TEOH M.S.

Provider Business Mailing Address
First Line	:	2397 HOPKINS FARM CT
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9840
Country	:	US
Telephone Number	:	336-656-9955
Fax Number	:

Provider Business Practice Location Address
First Line	:	2397 HOPKINS FARM CT
Second Line	:
City	:	BROWNS SUMMIT
State	:	NC
Zip	:	27214-9840
Country	:	US
Telephone Number	:	336-656-9955
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/15/2008

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Directions to “ AMY P TEOH M.S.” Practice Location

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