MEDICARE: MRS. AMY V. SAPARTO C.S.C.C.C.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	12244	OR
2	235Z00000X	Speech-Language Pathologist	108914	TX

General Provider Information

NPI Number	:	1376802421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY V. SAPARTO C.S.C.C.C.SLP

Provider Business Mailing Address
First Line	:	2105 LAKEWAY DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5883
Country	:	US
Telephone Number	:	541-301-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 LAKEWAY DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5883
Country	:	US
Telephone Number	:	541-301-1288
Fax Number	:

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

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	03/15/2024

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