Healthcare Provider Details

I. General information

NPI: 1447304696
Provider Name (Legal Business Name): AMY DENISE STRICKLIN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MARTIN MCD, CCC-SLP

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 LONG BEACH BLVD STE 700
LONG BEACH CA
90807-2000
US

IV. Provider business mailing address

2309 CHARLESTOWNE DR
SEARCY AR
72143-7025
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone: 870-208-3450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number33837
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number120254
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 2407
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: