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Contact Information

AMY SHANDY SPEECH LANGUAGE PATHOLOGIST
8540 SCARBOROUGH DRIVE
SUITE 290
COLORADO SPRINGS, CO80920
 Phone: 719-597-0822
 Fax: 719-599-4606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Behavior Analyst

103K00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AMY SHANDY SPEECH LANGUAGE PATHOLOGIST

NPI Number 1144392861
LBN Legal business name AMY SHANDY SPEECH LANGUAGE PATHOLOGIST
Authorized official REBECCA NEWMAN - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 09/15/2020 - About 6 years ago
Identifiers
License # 09122115
CO License # 20051321398
CO Medicaid 12000256
CO Medicaid 28678737
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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