MEDICARE: AMY PFEIL M.S. 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	2202011927	VA
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1114518792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY PFEIL M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	504 ALBEMARLE SQ
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-7405
Country	:	US
Telephone Number	:	434-817-7848
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 ALBEMARLE SQ
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-7400
Country	:	US
Telephone Number	:	434-817-7848
Fax Number	:

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

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	03/10/2026

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Directions to “ AMY PFEIL M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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