Healthcare Provider Details

I. General information

NPI: 1679438162
Provider Name (Legal Business Name): AMY STROMMER MS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 ANALY AVE
SEBASTOPOL CA
95472-3401
US

IV. Provider business mailing address

PO BOX 506
GRATON CA
95444-0506
US

V. Phone/Fax

Practice location:
  • Phone: 707-824-2300
  • Fax:
Mailing address:
  • Phone: 707-824-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: