NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

AMANDA R LANE, M.S. CCC-SLP
867 MCGUIRE AVE
PADUCAH, KY42001-4036
 Phone: 270-442-6168
 Fax: 270-443-6211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AMANDA R LANE · (Female)

NPI Number 1003013590
Status Active
Credentials M.S. CCC-SLP
Entity Individual
Enumeration date 06/28/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3125
  • KY Medicaid 12501490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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