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NPI Code Detail

MEDICARE: AMY BARTLETT

MEDICARE: AMY BARTLETT
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
1235Z00000XSpeech-Language Pathologist6044LA

General Provider Information

NPI Number : 1851601397
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BARTLETT
Provider Business Mailing Address
First Line : 160 BLACK BEAR LN
Second Line :
City : MONROE
State : LA
Zip : 71203-6301
Country : US
Telephone Number : 318-547-8506
Fax Number :
Provider Business Practice Location Address
First Line : 160 BLACK BEAR LN
Second Line :
City : MONROE
State : LA
Zip : 71203-6301
Country : US
Telephone Number : 318-547-8506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 05/20/2020

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Directions to “ AMY BARTLETT ” 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.

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