MEDICARE: MS. AMY PETTWAY 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	1103	AL

General Provider Information

NPI Number	:	1689842205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY PETTWAY CCC-SLP

Provider Business Mailing Address
First Line	:	1833 SUMMER PLACE DR E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3238
Country	:	US
Telephone Number	:	251-460-0691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 SUMMER PLACE DR E
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3238
Country	:	US
Telephone Number	:	251-460-0691
Fax Number	:

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

Provider Enumeration Date	:	02/16/2008
Last Update Date	:	02/16/2008

Similar Medicare Providers

1457460594 — MOBILE MEDICARE
Practice Location Address:

67 WALNUT AVE
CLARK, NJ
07066-1640

Practice Phone: 732-388-7300
Practice Fax: 732-388-1330

1174170070 — HEART TO HEART HOME CARE SERVICES
Practice Location Address:

1841 SUMMER PLACE DR E
MOBILE, AL
36618-3238

Practice Phone: 251-423-8651
Practice Fax:

1659525160 — ALYSSA MARIA PROHASKI LMSW
Practice Location Address:

1112 MOBILE ST
WATERLOO, IA
50703-3238

Practice Phone: 319-290-6001
Practice Fax:

1205359395 — WALGREEN CO
Practice Location Address:

1351 N UNIVERSITY BLVD STE 1
MOBILE, AL
36618-2609

Practice Phone: 251-288-6182
Practice Fax: 251-288-6183

1831177484 — DR. VINCENT PAUL ARATA D.M.D.
Practice Location Address:

4900 MOFFETT RD
MOBILE, AL
36618-2222

Practice Phone: 251-343-0404
Practice Fax: 251-343-7645

1861444689 — MICHAEL CARL MADDEN SR. MD
Practice Location Address:

7505 MOFFETT RD
MOBILE, AL
36618

Practice Phone: 251-649-6112
Practice Fax: 251-649-6115

Directions to “ MS. AMY PETTWAY CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.