Healthcare Provider Details

I. General information

NPI: 1760317341
Provider Name (Legal Business Name): AMY TIPPETT CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4142 HIGHWAY 19 W
BRYSON CITY NC
28713-8568
US

IV. Provider business mailing address

30 N RIDGE PT APT T5
SYLVA NC
28779-9542
US

V. Phone/Fax

Practice location:
  • Phone: 828-488-2119
  • Fax:
Mailing address:
  • Phone: 828-421-4704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: