Doctor Name: | MRS. AMY STAMBAUGH WELLS |
NPI Number: | 1134549389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SA12452 |
Business Practice Address: | 9100 White Bluff Rd Ste 202 Savannah, GA - 314064600 |
Business Phone Number: | 9123358486 |
Business Fax Number: | 9123353528 |
Mailing Address: | 9100 White Bluff Rd Ste 202, SAVANNAH |
State: | GA |
Postal Code: | 314064600 |
Phone Number: | 9123358486 |
Fax Number: | 9123353528 |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA12452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |